Individual provider Active NPI

Joni W Hougaard, M.D.

  • Family Medicine Physician
  • West Jordan, UT
National Provider Identifier
1508801606
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
312402-1205 Issued in UT
Practice address
8846 S Redwood Rd Ste E121
West Jordan, UT 84088-9366
Phone
(801) 569-1999
Fax
(801) 569-2001
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 312402-1205 UT Primary

Addresses

Primary practice location

8846 S Redwood Rd Ste E121
West Jordan, UT 84088-9366

Mailing address

PO Box 198560
Atlanta, GA 30384-8560

Other identifiers 2

IdentifierTypeStateIssuer
D0238MedicaidUT
1164672770MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhougaard2035@epicmtn.hcadirect.net

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
I20081216000119 UT Practitioner - Family Practice 8426110016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nevada School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountainstar Medical Group-St. Marks Hospital LLCGroup PAC ID 1557443322, 13 clinicians

Practice addresses (Care Compare)

8846 S Redwood Rd
121 Jordan Family Health
West Jordan, UT 84088-9334
Phone (801) 569-1999

Hospital & facility affiliations

  • Lone Peak Hospital Hospital, Draper, UT, CCN 460060
  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047
  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
312402-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainstar Medical Group-St. Marks Hospital, LLC Family Medicine CurrentSince Jan 1, 2012 Accepting new patients
Jordan Family Health, LLC Family Medicine Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

8846 S Redwood Rd
Ste E121
West Jordan, UT 84088
Phone (801) 268-4141

8846 S Redwood Rd
Ste E12
West Jordan, UT 84088
Phone (801) 266-2777

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1508801606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198560",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8846 S REDWOOD RD STE E121",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889366",
            "telephone_number": "801-569-1999",
            "fax_number": "801-569-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGAARD",
        "first_name": "JONI",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-02-09",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "312402-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0238",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164672770",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhougaard2035@epicmtn.hcadirect.net",
            "affiliation": "N",
            "address_1": "8846 S Redwood Rd Ste E121",
            "city": "West Jordan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840889366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.