Individual provider Active NPI

Timothy S Houden, MD

  • Pain Medicine Physician
  • Ogden, UT
National Provider Identifier
1255339552
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
1835611205 Issued in UT
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

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014000095 UT Practitioner - Pain ManagementPractitioner - NeurosurgeryPractitioner - Anesthesiology 8527028513 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Wisconsin School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ogden Clinic Specialty Services LLCGroup PAC ID 1658781422, 131 clinicians

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

LicenseStateTypeSpecialty
1835611205UTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Clinic PC Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Ogden Clinic Specialty Services LLC CurrentSince Jan 1, 2021 Accepting new patients
Mountain West Anesthesia LLC Anesthesiology CurrentSince Aug 23, 2009 Accepting new patients
Utah Spine Care, LLC PastSince Sep 30, 2009 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.