Norman O Wahlstrom Jr., MD

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

1669681205 Issued in UT

Practice address

5475 South 500 East
Ogden, UT 84405

Phone

(801) 479-2392

Fax

(801) 479-2396

NPI assigned

May 16, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anatomic Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Salt Lake City, UT
  • NPI 1558441485
  NPD (past)
• Hu Ding, M.D., P.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bountiful, UT
  • NPI 1740436625
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1285686436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843020727",
            "telephone_number": "435-734-0101",
            "fax_number": "435-734-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 SOUTH 500 EAST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-479-2392",
            "fax_number": "801-479-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLSTROM",
        "first_name": "NORMAN",
        "middle_name": "O",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "UT",
            "license": "1669681205",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "UT",
            "license": "1669681205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Erin Wagner, RPH
• Jessika Wagner, MD
• Jessica Susan Wagstaff, LAT, ATC
• Jack D Wahlen, M.D.
• Russell S. Wahlen, D.C.
• Lara Waite, AUD
• Wake Up Sense LLC (Wake Up Sense Holistic Healing)
• Wal-Mart
• Wal-Mart Stores, Inc (Vision Center 30-2921)
• Walgreen Co (Rite Aid)

• Clinical Pathology/Laboratory Medicine Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Clinical Pathology/Laboratory Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.