Corey D Anden MD PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

COREY D ANDEN MD PC

Practice address

4403 Harrison Blvd
#1875
Ogden, UT 84403-3271

Phone

(801) 387-2090

Fax

(801) 387-6606

NPI assigned

Dec 6, 2007

Last updated

Jan 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Corey D Anden, MDNPI 1861490278

Title

President

Phone

(801) 387-2090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corey D Anden, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ogden, UT
  • NPI 1861490278
  Medicare reassignment NPD Authorized official
• Christa M Black, PA-C

  • Physician Assistant
  • San Antonio, TX
  • NPI 1033177837

  UT

  Medicare reassignment

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1578746160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27688",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270688",
            "telephone_number": "801-534-1360",
            "fax_number": "801-366-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD",
            "address_2": "#1875",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033271",
            "telephone_number": "801-387-2090",
            "fax_number": "801-387-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY D ANDEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "ANDEN",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-387-2090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathie Ellen Coopersmith, M.D.
• Cope Family Wellness
• Blake Cope, PT, DPT
• Joseph Corbridge
• Elle Michelle Core
• Mark David Corgiat, PHD
• Aaliyah Coria
• Cornerstone Caregiving West LLC
• Kirsten Amber Cornia
• Julie Corona

• Physical Medicine & Rehabilitation Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Physical Medicine & Rehabilitation Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.