Active NPI
Intermountain Neurology
- Internal Medicine Physician
- Ogden, UT
National Provider Identifier
1477540870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 260615
- Legal business name
- INTERMOUNTAIN NEUROLOGY
- Practice address
- 6112 S 1550 E
Ogden, UT 84405-5007 - Phone
- (801) 475-7707
- Fax
- (801) 475-7322
- NPI assigned
- Sep 30, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jahan Imani, MD
- Title
- Owner
- Phone
- (801) 475-7707
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 260615 | UT | Primary |
Addresses
Primary practice location
6112 S 1550 E
Ogden, UT 84405-5007
Mailing address
PO Box 1512
Layton, UT 84041-6512
Phone (801) 593-9223
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Washington Terrace, UT
- NPI 1063414969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477540870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1512",
"city": "LAYTON",
"state": "UT",
"postal_code": "840416512",
"telephone_number": "801-593-9223",
"fax_number": "801-593-9626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6112 S 1550 E",
"city": "OGDEN",
"state": "UT",
"postal_code": "844055007",
"telephone_number": "801-475-7707",
"fax_number": "801-475-7322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERMOUNTAIN NEUROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "IMANI",
"authorized_official_first_name": "JAHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-475-7707",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "UT",
"license": "260615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
- Integrity Home Health of Ogden, LLC
- Integrity Hospice of Weber, LLC
- Intermountain Healthcare
- Intermountain Healthcare
- Intermountain Healthcare
- Intermountain Psychology LLC
- Intermountain Skin Cancer & Esthetics Center PC
- Interventional Spine & Pain Management
- Miranda Berchtold Ipsen, OTR/L
- Suleman Iqbal, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.