Individual provider Active NPI

Jed Naisbitt, MD

  • Obstetrics & Gynecology Physician
  • South Ogden, UT
National Provider Identifier
1487677613
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1734041205 Issued in UT
Practice address
1525 East 6000 South
South Ogden, UT 84405
Phone
(801) 337-5800
Fax
(801) 337-5809
NPI assigned
Jul 26, 2006
Last updated
Jan 31, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1734041205 UT Primary

Addresses

Primary practice location

1525 East 6000 South
South Ogden, UT 84405

Mailing address

1525 East 6000 South
South Ogden, UT 84405
Phone (801) 337-5800

Other identifiers 1

IdentifierTypeStateIssuer
08197MedicaidUT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000877 UT Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 8426246398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Utah School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle of Life IncGroup PAC ID 5193703544, 10 clinicians

Practice addresses (Care Compare)

1525 E 6000
Suite a
Ogden, UT 84405-7149
Phone (801) 337-5800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1734041205UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Circle of Life Inc Obstetrics & Gynecology CurrentSince Feb 17, 2000 Accepting new patients

Locations

1525 E 6000 S
South Ogden, UT 84405
Phone (801) 337-5800

1525 E 6000 S
Ste A
South Ogden, UT 84405
Phone (801) 337-5800

Interoperability endpoints

  • Direct secure messaging: mindfulmedical.jednaisbitt@156096.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1487677613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 EAST 6000 SOUTH",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-337-5800",
            "fax_number": "801-337-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 EAST 6000 SOUTH",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-337-5800",
            "fax_number": "801-337-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAISBITT",
        "first_name": "JED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "1734041205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08197",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

Verify at the official NPI Registry.