Cleo E Dymott, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

176793-1205 Issued in UT

Practice address

4926 Quail LN
Ogden, UT 84403-4436

Phone

(801) 476-1514

Fax

(801) 476-1514

NPI assigned

Nov 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1578864476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4926 QUAIL LN",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034436",
            "telephone_number": "801-476-1514",
            "fax_number": "801-476-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4926 QUAIL LN",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034436",
            "telephone_number": "801-476-1514",
            "fax_number": "801-476-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYMOTT",
        "first_name": "CLEO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "UT",
            "license": "176793-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiation Oncology Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Radiation Oncology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.