Noel Nellis, MD

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

146023-1205 Issued in UT

Legal business name

NOEL NELLIS, MD

Practice address

831 E 5875 S
South Ogden, UT 84405-4997

Phone

(801) 479-9715

Fax

(801) 479-9452

NPI assigned

Mar 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Noel Nellis, MD

Title

Physician & Surgeon

Phone

(801) 479-9715

Specialties & licenses 3

Addresses

Tax ID family

Kaiser Permanente Panorama City Medical Center119 organizations share this tax ID, including this one

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1447644240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 E 5875 S",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054997",
            "telephone_number": "801-479-9715",
            "fax_number": "801-479-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 E 5875 S",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054997",
            "telephone_number": "801-479-9715",
            "fax_number": "801-479-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOEL NELLIS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "NELLIS",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "PHYSICIAN & SURGEON",
        "authorized_official_telephone_number": "801-479-9715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "146023-1205",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "UT",
            "license": "146023-1205",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "UT",
            "license": "146023-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergen Nielson, RBT
• Marsha Arlene Nielson, LCSW
• Marci Niemeyer, PA-C
• Nilson & Clarke, PLLC (Skyline Family Dentistry)
• Scott B Nilson, DDS PC
• Christopher Nokes, C.S.W
• Britney Jorgen Nordfors, LMT
• Kevin L. Norris, D.M.D.
• Savannah Norris, RBT
• Northern Utah Rehabilitation Hospital LLC

• Urgent Care Clinic/Center in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Urgent Care Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.