Individual provider Active NPI

Craig R Foley, M.D.

  • Colon & Rectal Surgery Physician
  • Ogden, UT
National Provider Identifier
1164528964
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
273618 1205 Issued in UT
Practice address
1508 E Skyline Dr Ste 600
Ogden, UT 84405-4857
Phone
(385) 205-6803
Fax
(385) 205-6806
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 273618 1205 UT Primary

Addresses

Primary practice location

1508 E Skyline Dr Ste 600
Ogden, UT 84405-4857

Mailing address

1508 E Skyline Dr Ste 600
Ogden, UT 84405-4857
Phone (385) 205-6803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061013000060 UT Practitioner - Colorectal Surgery (Proctology) 8820094949 Practice locations: Ogden, UT

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
University of Utah School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1508 E Skyline Dr
Suite 600
South Ogden, UT 84405-4857

4403 Harrison Blvd
Suite 4410
Ogden, UT 84403-3323
Phone (801) 387-2550

Hospital & facility affiliations

  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy61
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
273618 1205UTMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steven a Porter MD PC CurrentSince Dec 8, 2024 Accepting new patients
Ogden Clinic PC Colon & Rectal Surgery Past Accepting new patients
Mountainstar Brigham OBGYN, LLC PastSince Dec 8, 2024 Accepting new patients

Locations

4403 Harrison Blvd
Ste 2855
Ogden, UT 84403
Phone (801) 387-2550

1508 E Skyline Dr
Ste 600
South Ogden, UT 84405
Phone (801) 624-6597

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1164528964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 E SKYLINE DR STE 600",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054857",
            "telephone_number": "385-205-6803",
            "fax_number": "385-205-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 E SKYLINE DR STE 600",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054857",
            "telephone_number": "385-205-6803",
            "fax_number": "385-205-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "CRAIG",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "UT",
            "license": "273618 1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.