Active NPI
Ihc Health Services Inc
Doing business as McKay Dee Trauma
- Trauma Surgery Physician
- Ogden, UT
National Provider Identifier
1801587530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- Legal business name
- IHC HEALTH SERVICES INC
- Doing business as
- McKay Dee Trauma
- Practice address
- 4403 Harrison Blvd Ste 2600
Ogden, UT 84403-3277 - Phone
- (801) 378-7450
- NPI assigned
- May 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- JP Valin, MD
- Title
- Evp Chief Clinical Officer
- Phone
- (801) 442-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | Primary |
Addresses
Primary practice location
4403 Harrison Blvd Ste 2600
Ogden, UT 84403-3277
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other names 1
- McKay Dee Trauma
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080610000303 | UT | Part B Supplier - Clinic/Group Practice | 1850209420 |
Receives reassigned benefits from 4,146 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Spanish Fork, UT
- NPI 1538998042
-
- Family Nurse Practitioner
- American Fork, UT
- NPI 1932740651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684108800000",
"number": "1801587530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 HARRISON BLVD STE 2600",
"city": "OGDEN",
"state": "UT",
"postal_code": "844033277",
"telephone_number": "801-378-7450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHC HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-15",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A",
"authorized_official_last_name": "VALIN",
"authorized_official_first_name": "JP",
"authorized_official_title_or_position": "EVP CHIEF CLINICAL OFFICER",
"authorized_official_telephone_number": "801-442-2000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "McKay Dee Trauma",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ogden, UT
- Ihc Health Services Inc (Intermountain Health Home Health Ogden)
- Ihc Health Services Inc (Summit Orthopedics)
- Ihc Health Services Inc (McKay Dee Uro-Gynecology Clinic)
- Ihc Health Services Inc (Intermountain Cancer Center at Layton Parkway)
- Ihc Health Services Inc (McKay Dee Peds CS Sedation)
- Ihc Health Services Inc (McKay Dee Hospital Physicians)
- Ihc Health Services Inc (McKay Dee Pediatric Hospitalist)
- Ihc Health Services Inc (MKDH Ekg)
- Ihc Health Services Inc (Intermountain Wasatch OB/GYN)
- Ihc Health Services Inc (MKDH BHI Psychology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.