Omega Choice Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

180211-1204 Issued in UT

Legal business name

OMEGA CHOICE INC

Practice address

2250 N Coral Canyon Blvd
Ste 102
Washington, UT 84780-2649

Phone

(435) 216-2184

NPI assigned

May 10, 2010

Organization subpart

No

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

Authorized official

Name

Ralpha D Wade, D.O.

Title

President

Phone

(435) 216-2184

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1215255609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 W SAHARA AVE",
            "address_2": "STE 406",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175744",
            "telephone_number": "435-216-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 N CORAL CANYON BLVD",
            "address_2": "STE 102",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847802649",
            "telephone_number": "435-216-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA CHOICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "RALPHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-216-2184",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "180211-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole N. Choules, Au.D., LLC
• Preston Rex Nielsen, RN
• Hannah Wilson Nielson, CMHC-I
• Kenzie Anne Ochoa, CNA
• Hannah Brooke Olsen, PA-C
• Marijke Onsrud, P.T.O.C.S.
• Oral Health Access LLP
• Rachelle Ottesen, CMHC
• Carrie Lynn Ovard, MS, LCMHC
• Kenzi Owen

• Family Medicine Physician in Washington, UT
• Providers in Washington, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.