Individual provider Active NPI

Joshua George Vandersteen, DO

  • Gastroenterology Physician
  • Ogden, UT
National Provider Identifier
1285959114
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
9735399-1204 Issued in UT
Practice address
5740 Crestwood Dr
Ogden, UT 84405-4869
Phone
(801) 475-3380
Fax
(801) 475-3381
NPI assigned
Apr 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 9735399-1204 UT Primary

Addresses

Primary practice location

5740 Crestwood Dr
Ogden, UT 84405-4869

Mailing address

PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3380

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
I20160803002102 UT Practitioner - Internal MedicinePractitioner - Gastroenterology 4284928920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 2010
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)

5740 Crestwood Dr
Ogden, UT 84405-4869
Phone (801) 479-7771

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy177
Upper gastrointestinal (GI) endoscopy for acid reflux324

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Clinic Specialty Services LLC Gastroenterology CurrentSince Jan 1, 2021 Accepting new patients
Ogden Clinic PC Internal Medicine CurrentSince Aug 3, 2016 Accepting new patients

Locations

1916 N 700 W
Ste 250
Layton, UT 84041
Phone (801) 479-0312

201 W Layton Pkwy
Ste 420
Layton, UT 84041

201 W Layton Pkwy
Ste 4C
Layton, UT 84041
Phone (801) 475-3280

5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100

4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481

1100 W 2700 N
Pleasant View, UT 84404
Phone (801) 475-3600

1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550

6028 S Ridgeline Dr
Ste 205
South Ogden, UT 84405
Phone (801) 409-2100

5740 Crestwood Dr
South Ogden, UT 84405
Phone (801) 479-7771

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJGBA

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1270339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1285959114",
    "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": "801-475-3380",
            "fax_number": "801-475-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 CRESTWOOD DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054869",
            "telephone_number": "801-475-3380",
            "fax_number": "801-475-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERSTEEN",
        "first_name": "JOSHUA",
        "middle_name": "GEORGE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "UT",
            "license": "9735399-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.