Active NPI
Dawn Thi Thuy Ngo, PA-C
- Physician Assistant
- American Fork, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50085381206
- Practice address
- 1175 E 50 S Ste 221
American Fork, UT 84003-2845 - Phone
- (801) 772-0775
- Fax
- (801) 772-1941
- NPI assigned
- Oct 16, 2006
- Last updated
- May 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5008538-1206 | UT | |
| Physician Assistant | 363A00000X | 50085381206 | UT | Primary |
Addresses
Primary practice location
1175 E 50 S Ste 221
American Fork, UT 84003-2845
Mailing address
1055 N 500 W
Attn: Credentialing
Provo, UT 84604-3305
Phone (801) 354-8225
Other practice location 1
1055 N 500 W Ste 100
Provo, UT 84604-3305
Phone (801) 772-0775
Other practice location 2
3590 W 9000 S Ste 120
West Jordan, UT 84088-8858
Phone (801) 208-1075
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | medreview@reverehealth.com | Central Utah Clinic, P.C. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
389 S 900
Salt Lake City, UT 84102-2310
Phone (385) 282-2400
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
852 N 500
Provo, UT 84604-3322
Phone (801) 442-4558
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50085381206 | UT | MD | Physician Assistant |
| 5008538-1206 | UT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Family Medicine | Current | Accepting new patients |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients | |
| Ihc Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients | |
| Hunter Medical Center, Inc | Family Medicine | Past | Accepting new patients |
Locations
8900 E 46th Pl
Denver, CO 80238
Phone (303) 403-6300
8550 W 38th Ave
Ste 320
Wheat Ridge, CO 80033
Phone (801) 442-4122
1175 E 50 S
Ste 221
American Fork, UT 84003
Phone (801) 772-0775
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
1055 N 500 W
Ste 100
Provo, UT 84604
Phone (801) 374-1268
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
389 S 900 E
Slc, UT 84102
Phone (385) 282-2000
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Orthopedic Centers of Colorado - Saint Joseph
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
dba Intermountain Health Heart & Vascular - Denver
- Cardiovascular Disease Physician
- Denver, CO
- NPI 1588325526
-
dba Jordan Meadows Medical Center.
- Family Medicine Physician
- West Jordan, UT
- NPI 1205957131
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Home Health Heber City
- Home Health Agency
- South Jordan, UT
- NPI 1447344098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1194805978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 500 W",
"address_2": "ATTN: CREDENTIALING",
"city": "PROVO",
"state": "UT",
"postal_code": "846043305",
"telephone_number": "801-354-8225",
"fax_number": "801-418-0941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 E 50 S STE 221",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032845",
"telephone_number": "801-772-0775",
"fax_number": "801-772-1941"
}
],
"practiceLocations": [
{
"address_1": "1055 N 500 W Ste 100",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846043305",
"country_code": "US",
"telephone_number": "801-772-0775",
"fax_number": "801-772-1941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3590 W 9000 S Ste 120",
"address_purpose": "LOCATION",
"city": "West Jordan",
"state": "UT",
"postal_code": "840888858",
"country_code": "US",
"telephone_number": "801-208-1075",
"fax_number": "385-351-6735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGO",
"first_name": "DAWN",
"middle_name": "THI THUY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "UT",
"license": "5008538-1206",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "50085381206",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "medreview@reverehealth.com",
"affiliation": "Y",
"affiliationName": "Central Utah Clinic, P.C.",
"address_1": "1175 E 50 S Ste 221",
"city": "American Fork",
"state": "UT",
"country_code": "US",
"postal_code": "840032845",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in American Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.