Individual provider Active NPI

Barry A Noorda, MD

  • Obstetrics & Gynecology Physician
  • Logan, UT
National Provider Identifier
1558351742
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
3427551205 Issued in UT
Practice address
1325 N 600 E
102
Logan, UT 84341-2684
Phone
(435) 753-9999
Fax
(435) 753-0546
NPI assigned
Oct 27, 2005
Last updated
Apr 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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 3427551205 UT Primary

Addresses

Primary practice location

1325 N 600 E
102
Logan, UT 84341-2684

Mailing address

1325 N 600 E
102
Logan, UT 84341-2684
Phone (435) 753-9999

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
I20050131000300 UT Practitioner - Obstetrics/Gynecology 4183674096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Nevada School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cache Valley Womens Center PLLCGroup PAC ID 9032177001, 8 clinicians

Practice addresses (Care Compare)

1325 N 600
Suite 102
Logan, UT 84341-6744
Phone (435) 753-9999

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cache Valley Womens Center, PLLC Obstetrics & Gynecology CurrentSince Aug 1, 1997 Accepting new patients

Locations

1325 N 600 E
Ste 102
Logan, UT 84341
Phone (435) 753-9999

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 1

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1558351742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N 600 E",
            "address_2": "102",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412684",
            "telephone_number": "435-753-9999",
            "fax_number": "435-753-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N 600 E",
            "address_2": "102",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412684",
            "telephone_number": "435-753-9999",
            "fax_number": "435-753-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORDA",
        "first_name": "BARRY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "3427551205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.