Richard Dix Cloward, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

4960478-1206 Issued in UT

Practice address

4403 Harrison Blvd Ste 4400
Ogden, UT 84403-3290

Phone

(801) 387-4550

Fax

(801) 387-4565

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Brian W Heaton MD PC

  • Urology Physician
  • Ogden, UT
  • NPI 1083886840
  Medicare reassignment

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407074461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD STE 4400",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033290",
            "telephone_number": "801-387-4550",
            "fax_number": "801-387-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD STE 4400",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033290",
            "telephone_number": "801-387-4550",
            "fax_number": "801-387-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOWARD",
        "first_name": "RICHARD",
        "middle_name": "DIX",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "UT",
            "license": "4960478-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Ballard Clayton, DPM
• Clinical Consultants
• Tyler Clonts
• Carson Michael Close, PA-C
• Jason Clough
• Jackie Russell Coahran, B.S.
• Heath Aaron Cobb, M.D.
• Mitchell Cobia, NP
• Abbey Coburn, PA-C
• Tracy Coburn, SSW

• Surgical Physician Assistant in Ogden, UT
• Providers in Ogden, UT by specialty
• Surgical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.