Active NPI
Megan M Shutts-Karjola, M.D.
- Obstetrics & Gynecology Physician
- Tooele, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 17781
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17781 | MS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Clinic Specialty Services LLC | Current | Accepting new patients | |
| Tooele Clinic Corp | Obstetrics & Gynecology | Current | 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
- https://fhir4.healow.com/fhir/r4/JJJGBA
- 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.
-
dba Ogden Clinic PC
- Sports Medicine (Family Medicine) Physician
- Ogden, UT
- NPI 1114203668
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.