Individual provider Active NPI

Scott M Stallings, MD

  • Family Medicine Physician
  • Ogden, UT
National Provider Identifier
1700818259
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3499561205 Issued in UT
Practice address
698 12TH St
Ogden, UT 84404-5877
Phone
(801) 621-3466
Fax
(801) 622-1505
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3499561205 UT Primary

Addresses

Primary practice location

698 12TH St
Ogden, UT 84404-5877

Mailing address

1055 N 500 W
Provo, UT 84604-3305
Phone (801) 375-8858

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050714000324 UT Practitioner - Hospice/Palliative CarePractitioner - Family Practice 9739115353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Carenow Urgent Care LLCGroup PAC ID 7113326208, 31 clinicians

Practice addresses (Care Compare)

441 S Redwood Rd
Salt Lake City, UT 84104-3539
Phone (801) 973-2588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3499561205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Carenow Urgent Care, LLC Family Medicine CurrentSince Aug 10, 2021 Accepting new patients
University of Utah Community Physicians Group Family Medicine Current Accepting new patients
University of Utah Community Physicians Group CurrentSince Oct 1, 2017 Accepting new patients
University of Utah Community Physicians Group Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Revere Health PC Family Medicine PastSince Oct 1, 2008 Accepting new patients
Harper Rocky Mountain Chiropractic, PC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841

5911 S Fashion Blvd
Salt Lake City, UT 84107
Phone (801) 266-6483

441 S Redwood Rd
Slc, UT 84104
Phone (801) 973-2588

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1700818259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-375-8858",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 12TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844045877",
            "telephone_number": "801-621-3466",
            "fax_number": "801-622-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "3499561205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.