NPIMap

Organization Active NPI

Utah Hematology Oncology

  • Specialist
  • Ogden, UT
National Provider Identifier
1669666509
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1001556 Issued in UT
Legal business name
UTAH HEMATOLOGY ONCOLOGY
Practice address
5405 S 500 E
Suite 202
Ogden, UT 84405-6957
Phone
(801) 476-1777
Fax
(801) 479-1479
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Mr. David C Pittam, MHA
Title
Administrator
Phone
(801) 476-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 1001556 UT Primary

Addresses

Primary practice location

5405 S 500 E
Suite 202
Ogden, UT 84405-6957

Mailing address

5290 S 400 E
Ogden, UT 84405-7194
Phone (801) 476-1777

National Provider Directory

National Provider Directory

Locations

5290 S 400 E
Ogden, UT 84405
Phone (801) 476-1777

4403 Harrison Blvd
Ste 1685
Ogden, UT 84403
Phone (801) 387-7165

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1669666509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 S 400 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844057194",
            "telephone_number": "801-476-1777",
            "fax_number": "801-479-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 S 500 E",
            "address_2": "SUITE 202",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056957",
            "telephone_number": "801-476-1777",
            "fax_number": "801-479-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH HEMATOLOGY ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "PITTAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-476-1777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "1001556",
            "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 Jun 16, 2014; 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.