Susan C Hustad, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

377470-1205 Issued in UT

Practice address

425 E 5350 S
Ste 335
Ogden, UT 84405-6990

Phone

(801) 475-8600

Fax

(801) 475-8686

NPI assigned

Jun 21, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Susan C Hustad MD, PC

  • Internal Medicine Physician
  • Ogden, UT
  • NPI 1447470893
  Authorized official Same address or phone

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1770589145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 5350 S",
            "address_2": "STE 335",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056990",
            "telephone_number": "801-475-8600",
            "fax_number": "801-475-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 5350 S",
            "address_2": "STE 335",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056990",
            "telephone_number": "801-475-8600",
            "fax_number": "801-475-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTAD",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "377470-1205",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "377470-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTROLLED SUBSTANC",
            "identifier": "377470-8905",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAN & SURGEON LICENS",
            "identifier": "377470-1205",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Hurst
• Robyn Kim Hurt
• Angel Hurtado
• Saima Husain, M.D.
• Brian Cooper Hussey
• Anne M Hutchinson, M.D.
• Spencer B Hyde, DO
• Sarah Iannacone, PHARMD
• Timothy Bock Icenogle, MD
• Ideal Mindset LLC

• Hospitalist Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Hospitalist Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.