Active NPI
NPH Anesthesia of Utah, LLC
- Anesthesiology Physician
- Ogden, UT
National Provider Identifier
1366077273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- NPH ANESTHESIA OF UTAH, LLC
- Practice address
- 5475 S 500 E
Ogden, UT 84405-6905 - Phone
- (469) 505-1609
- NPI assigned
- Mar 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latricia Smith
- Title
- Payer Enrollment Supervisor
- Phone
- (972) 761-5509
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
5475 S 500 E
Ogden, UT 84405-6905
Mailing address
2221 Lakeside Blvd Ste 600
Richardson, TX 75082-4416
Phone (972) 422-5941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200811001268 | UT | Part B Supplier - Clinic/Group Practice | 9537584313 |
Receives reassigned benefits from 156 practitioners Practice locations: Ogden, UT; West Jordan, UT |
National Provider Directory
National Provider DirectoryLocations
1820 Sidewinder Dr
Ste 200
Park City, UT 84060
Phone (435) 649-6311
1820 Sidewinder Dr
Park City, UT 84060
Phone (435) 647-9100
1525 E 6000 S
South Ogden, UT 84405
Phone (801) 337-5800
Practitioners & affiliated clinicians
Practitioners 159
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- West Jordan, UT
- NPI 1902409113
UT
-
- Certified Registered Nurse Anesthetist
- American Fork, UT
- NPI 1184058570
UT
-
- Certified Registered Nurse Anesthetist
- American Fork, UT
- NPI 1851047955
UT
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755648000000",
"number": "1366077273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 LAKESIDE BLVD STE 600",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750824416",
"telephone_number": "972-422-5941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5475 S 500 E",
"city": "OGDEN",
"state": "UT",
"postal_code": "844056905",
"telephone_number": "469-505-1609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NPH ANESTHESIA OF UTAH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-11",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "LATRICIA",
"authorized_official_title_or_position": "PAYER ENROLLMENT SUPERVISOR",
"authorized_official_telephone_number": "972-761-5509"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"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 Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.