Douglas Marr Woseth, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

6144238 Issued in UT

Practice address

1548 East 4500 South,
Suite 202
Salt Lake, UT 84117-5209

Phone

(801) 266-8841

Fax

(801) 266-0449

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Dermatology

Education

University of Chicago, Pritzker School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woseth Dermatology, P.C.Group PAC ID 1557392313, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.67 of 100Reported as group

Quality

96.5

Promoting interoperability

84

Improvement activities

40

Cost

89.08

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Woseth Dermatology, P.C.

  dba Leonard J.Swinyer, M.D., P.C.

  • Specialist
  • Salt Lake, UT
  • NPI 1457470585
  Medicare reassignment Care Compare group NPD Authorized official
• J Robert West, M.D., Inc

  dba Southern California Dermatology

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1619978970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 EAST 4500 SOUTH,",
            "address_2": "SUITE 202",
            "city": "SALT LAKE",
            "state": "UT",
            "postal_code": "841175209",
            "telephone_number": "801-266-8841",
            "fax_number": "801-266-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 EAST 4500 SOUTH,",
            "address_2": "SUITE 202",
            "city": "SALT LAKE",
            "state": "UT",
            "postal_code": "841175209",
            "telephone_number": "801-266-8841",
            "fax_number": "801-266-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOSETH",
        "first_name": "DOUGLAS",
        "middle_name": "MARR",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A79309",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "6144238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Valenzuela-Dominguez
• Wasatch Homeless Health Care, Inc. (4th Street Clinic)
• Wasatch Homeless Health Care, Inc. (Fourth Street Pharmacy)
• Jennifer D Wood, MS, CCC-SLP
• Woseth Dermatology, P.C. (Leonard J.Swinyer, M.D., P.C.)
• Charlee Yates

• Specialist in Salt Lake, UT
• Providers in Salt Lake, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.