Organization Active NPI

Skyline Plastic and Hand Surgery LLC

  • Specialist
  • Ogden, UT
National Provider Identifier
1235515453
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SKYLINE PLASTIC AND HAND SURGERY LLC
Practice address
6112 S 1550 E
Suite 102
Ogden, UT 84405-5007
Phone
(801) 499-7398
NPI assigned
Aug 11, 2015
Last updated
Aug 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Allisyn Okawa, MD
Title
Doctor
Phone
(801) 499-7398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6112 S 1550 E
Suite 102
Ogden, UT 84405-5007

Mailing address

6112 S 1550 E
Suite 102
Ogden, UT 84405-5007
Phone (801) 499-7398

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1235515453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 S 1550 E",
            "address_2": "SUITE 102",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844055007",
            "telephone_number": "801-499-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 S 1550 E",
            "address_2": "SUITE 102",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844055007",
            "telephone_number": "801-499-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE PLASTIC AND HAND SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "OKAWA",
        "authorized_official_first_name": "ALLISYN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "801-499-7398",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.