Individual provider Active NPI

Megan M Shutts-Karjola, M.D.

  • Obstetrics & Gynecology Physician
  • Tooele, UT
National Provider Identifier
1437143351
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17781 Issued in MS
Practice address
196 E 2000 N
Suite 107
Tooele, UT 84074-9335
Phone
(435) 843-3678
Fax
(435) 833-9829
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 17781 MS Primary

Addresses

Primary practice location

196 E 2000 N
Suite 107
Tooele, UT 84074-9335

Mailing address

196 E 2000 N
Suite 107
Tooele, UT 84074-9335
Phone (435) 843-3678

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
I20120910000083 UT Practitioner - Obstetrics/Gynecology 6305094780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2001
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)

6112 S 1550
Ogden, UT 84405-5007
Phone (801) 475-3800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17781MSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Clinic Specialty Services LLC CurrentSince Aug 1, 2023 Accepting new patients
Tooele Clinic Corp Obstetrics & Gynecology CurrentSince Sep 1, 2012 Accepting new patients
Ogden Clinic PC Obstetrics & Gynecology Current Accepting new patients

Locations

4403 Harrison Blvd
Ste 4650
Ogden, UT 84403
Phone (801) 387-4400

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

6112 S Harrison
South Ogden, UT 84405
Phone (801) 475-3800

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

196 E 2000 N
Ste 107
Tooele, UT 84074
Phone (435) 843-3678

2321 N 400 E
Ste 300
Tooele, UT 84074
Phone (435) 833-9180

196 E 2000 N
Ste 104
Tooele, UT 84074
Phone (435) 843-2576

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJJGBA
  • Direct secure messaging: mshuttsk@yourcarecommunity.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1437143351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 E 2000 N",
            "address_2": "SUITE 107",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749335",
            "telephone_number": "435-843-3678",
            "fax_number": "435-833-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 E 2000 N",
            "address_2": "SUITE 107",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749335",
            "telephone_number": "435-843-3678",
            "fax_number": "435-833-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTTS-KARJOLA",
        "first_name": "MEGAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "17781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

Verify at the official NPI Registry.