NPIMap

Organization Active NPI

Willard Z Maughan M.D. P.C.

  • Dermatology Physician
  • South Ogden, UT
National Provider Identifier
1316026057
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1614591205 Issued in UT
Legal business name
WILLARD Z MAUGHAN M.D. P.C.
Practice address
6028 S Ridgeline Dr
Ste 200
South Ogden, UT 84405-6914
Phone
(801) 475-5210
Fax
(801) 475-5209
NPI assigned
Nov 3, 2006
Last updated
Dec 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Dr. Willard Z Maughan, M.D.NPI 1235125063
Title
President
Phone
(801) 475-5210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 1614591205 UT Primary

Addresses

Primary practice location

6028 S Ridgeline Dr
Ste 200
South Ogden, UT 84405-6914

Mailing address

6028 S Ridgeline Dr
Ste 200
South Ogden, UT 84405-6914
Phone (801) 475-5210

National Provider Directory

National Provider Directory

Locations

6028 S Ridgeline Dr
Ste 200
South Ogden, UT 84405
Phone (801) 475-5210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1316026057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 S RIDGELINE DR",
            "address_2": "STE 200",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844056914",
            "telephone_number": "801-475-5210",
            "fax_number": "801-475-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 S RIDGELINE DR",
            "address_2": "STE 200",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844056914",
            "telephone_number": "801-475-5210",
            "fax_number": "801-475-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLARD Z MAUGHAN M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "MAUGHAN",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-475-5210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "UT",
            "license": "1614591205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.