Individual provider Active NPI

Douglas K Worthington, AUD

  • Audiologist
  • Provo, UT
National Provider Identifier
1467460246
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
8233519-4101 Issued in UT
Practice address
395 W Cougar Blvd Ste 501
Provo, UT 84604-3323
Phone
(801) 357-4945
Fax
(801) 357-7527
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 8233519-4101 UT Primary

Addresses

Primary practice location

395 W Cougar Blvd Ste 501
Provo, UT 84604-3323

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

1055 N 300 W
Suite 401
Provo, UT 84604-3344
Phone (801) 357-7499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120523000636 UT Practitioner - Qualified Audiologist 6103829585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

98 N 1100
Suite 203
American Fork, UT 84003-2941
Phone (801) 357-3242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8037MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Jul 8, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 8, 2024 Accepting new patients
Peak ENT Associates Audiologist CurrentSince Apr 1, 2012 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

98 N 1100 E
Ste 203
American Fork, UT 84003
Phone (801) 357-3242

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

3000 N Triumph Blvd
Ste 260
Lehi, UT 84043
Phone (385) 287-6070

395 W Cougar Blvd
Ste 501
Provo, UT 84604
Phone (801) 357-4945

1055 N 300 W
Ste 211
Provo, UT 84604
Phone (801) 852-9684

1055 N 300 W
Ste 401
Provo, UT 84604
Phone (801) 375-4646

819 E Market Place Dr
Spanish Fork, UT 84660
Phone (385) 344-6600

Organizations & group practices 5

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1467460246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W COUGAR BLVD STE 501",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043323",
            "telephone_number": "801-357-4945",
            "fax_number": "801-357-7527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 N 300 W",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846043344",
            "country_code": "US",
            "telephone_number": "801-357-7499",
            "fax_number": "801-373-5980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORTHINGTON",
        "first_name": "DOUGLAS",
        "middle_name": "K",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "8233519-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.