Individual provider Active NPI

Sarah Beth Ogle, DO, MS

  • Pediatric Surgery Physician
  • Orem, UT
National Provider Identifier
1235491564
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
12385920-1204 Issued in UT
Practice address
700 W 800 N # 330
Orem, UT 84057-6301
Phone
(435) 216-3590
NPI assigned
Jun 12, 2012
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 12385920-1204 UT Primary

Addresses

Primary practice location

700 W 800 N # 330
Orem, UT 84057-6301

Mailing address

11909 N Apollo Way
Highland, UT 84003-3682
Phone (623) 688-6347

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
I20220606000430 UT Practitioner - General Surgery 0648503151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Arizona College of Osteopathic Medicine Mid Western University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatrix Medical Group IncGroup PAC ID 2567634587, 5 clinicians

Practice addresses (Care Compare)

700 W 800
Suite 220
Orem, UT 84057-6316
Phone (801) 714-6404

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

State licenses

LicenseStateTypeSpecialty
12385920-1204UTMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group, Inc. Pediatric Surgery CurrentSince Dec 17, 2021 Accepting new patients

Locations

170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570

11925 S State St
Draper, UT 84020
Phone (801) 545-8000

74 E Kimballs Ln
Ste 210
Draper, UT 84020
Phone (801) 545-8480

96 E Kimballs Ln
Ste 100
Draper, UT 84020
Phone (801) 233-9300

2380 N 400 E
North Logan, UT 84341
Phone (435) 713-9700

700 W 800 N
Ste 220
Orem, UT 84057
Phone (385) 203-1250

750 W 800 N
Orem, UT 84057
Phone (801) 714-6000

1000 E 100 N
Payson, UT 84651
Phone (801) 465-7000

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

1067 N 500 W
Provo, UT 84604
Phone (801) 356-6002

1157 N 300 W
Provo, UT 84604
Phone (801) 357-1200

1157 N 300 W
Ste 201
Provo, UT 84604
Phone (801) 357-1200

Interoperability endpoints

  • Direct secure messaging: sarah.ogledo.p107@direct.mednax.nextgenshare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1235491564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11909 N APOLLO WAY",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840033682",
            "telephone_number": "623-688-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 800 N # 330",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840576301",
            "telephone_number": "435-216-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLE",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "credential": "DO, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2021-11-18",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "UT",
            "license": "12385920-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.