Active NPI
Douglas K Worthington, AUD
- Audiologist
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 8233519-4101
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8037 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Peak ENT Associates | Audiologist | Current | 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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Otolaryngology/Facial Plastic Surgery Physician
- Provo, UT
- NPI 1346489036
Audiologist
-
- Pediatric Radiology Physician
- Salt Lake City, UT
- NPI 1053664680
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
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.