Active NPI
Timothy S Houden, MD
- Pain Medicine Physician
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 1835611205
- Practice address
- 4403 Harrison Blvd # D
#1875
Ogden, UT 84403-3271 - Phone
- (801) 732-5900
- Fax
- (801) 387-6606
- NPI assigned
- Jul 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 1835611205 | UT | |
| Pain Medicine Physician | 208VP0000X | 1835611205 | UT | Primary |
Addresses
Primary practice location
4403 Harrison Blvd # D
#1875
Ogden, UT 84403-3271
Mailing address
PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3500
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Wisconsin School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4403 Harrison Blvd
Suite 1815
Ogden, UT 84403-3339
Phone (801) 732-5900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1835611205 | UT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Clinic PC | Family Medicine | Current | Accepting new patients |
| Ogden Clinic Specialty Services LLC | Current | Accepting new patients | |
| Mountain West Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Utah Spine Care, LLC | Past | Accepting new patients | |
| Ihc Health Services, Inc. | Past | Accepting new patients |
Locations
1351 W 200 N
Kaysville, UT 84037
Phone (385) 209-2928
5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100
4403 Harrison Blvd
#D1875
Ogden, UT 84403
Phone (801) 732-5900
4403 Harrison Blvd
Ste 1815
Ogden, UT 84403
Phone (801) 387-6520
4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481
10150 S Centennial Pkwy
Ste 230
Sandy, UT 84070
Phone (425) 284-1545
150 W Civic Center Dr
Ste 200
Sandy, UT 84070
Phone (801) 727-2056
1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550
4403 Harrison Blvd
Ste 1875
South Ogden, UT 84403
Phone (801) 387-2090
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJGBA
Organizations & group practices 5
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.
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- Psychiatry Physician
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-
- Neurological Surgery Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1255339552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5546",
"city": "DENVER",
"state": "CO",
"postal_code": "802175546",
"telephone_number": "801-475-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 HARRISON BLVD # D",
"address_2": "#1875",
"city": "OGDEN",
"state": "UT",
"postal_code": "844033271",
"telephone_number": "801-732-5900",
"fax_number": "801-387-6606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUDEN",
"first_name": "TIMOTHY",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "UT",
"license": "1835611205",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "UT",
"license": "1835611205",
"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 Sep 5, 2019; 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.