Active NPI
Randy Ray Hughston, PA-C
- Physician Assistant
- Ogden, UT
National Provider Identifier
1588694103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 282072-1206
- Practice address
- 982 Chambers St
Ogden, UT 84403-4571 - Phone
- (801) 479-4105
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 282072-1206 | UT | Primary |
Addresses
Primary practice location
982 Chambers St
Ogden, UT 84403-4571
Mailing address
768 David Way
North Salt Lake, UT 84054-1540
Phone (801) 936-5711
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220427002472 | UT | Order and Referring Only - Physician Assistant | 0547657231 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282072-1206 | UT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588694103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "768 DAVID WAY",
"city": "NORTH SALT LAKE",
"state": "UT",
"postal_code": "840541540",
"telephone_number": "801-936-5711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "982 CHAMBERS ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844034571",
"telephone_number": "801-479-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHSTON",
"first_name": "RANDY",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "282072-1206",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.