NPIMap

Organization Active NPI

Gary O. Christensen M.D. a Professional Corporation

  • Specialist
  • Ogden, UT
National Provider Identifier
1487946554
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1607821205 Issued in UT
Legal business name
GARY O. CHRISTENSEN M.D. A PROFESSIONAL CORPORATION
Practice address
6028 S Ridgeline Dr Ste 201a
Ogden, UT 84405-6909
Phone
(801) 475-6520
Fax
(801) 475-7306
NPI assigned
May 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Gary Christensen, M.D.
Title
M.D.
Phone
(801) 475-6520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1607821205 UT Primary

Addresses

Primary practice location

6028 S Ridgeline Dr Ste 201a
Ogden, UT 84405-6909

Mailing address

6028 S Ridgeline Dr Ste 201a
Ogden, UT 84405-6909
Phone (801) 475-6520

National Provider Directory

National Provider Directory

Locations

6028 S Ridgeline Dr
Ste 201A
Ogden, UT 84405
Phone (801) 475-6520

6028 S Ridgeline Dr
#201A
Ogden, UT 84405
Phone (801) 399-2668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1487946554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 S RIDGELINE DR STE 201A",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056909",
            "telephone_number": "801-475-6520",
            "fax_number": "801-475-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 S RIDGELINE DR STE 201A",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056909",
            "telephone_number": "801-475-6520",
            "fax_number": "801-475-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY O. CHRISTENSEN M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "801-475-6520",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "1607821205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.