Organization Active NPI

Columbia Ogden Medical Center, Inc.

Doing business as Syracuse FSED, a department of Ogden Regional Medical Center

  • Emergency Care Clinic/Center
  • Syracuse, UT
National Provider Identifier
1831032382
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
COLUMBIA OGDEN MEDICAL CENTER, INC.
Doing business as
Syracuse FSED, a department of Ogden Regional Medical Center
Practice address
323 S 2000 W
Syracuse, UT 84075-6001
Phone
(385) 383-2100
NPI assigned
Apr 10, 2026
Last updated
Apr 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBIA OGDEN MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Jerry Gonzalez
Title
Ceo
Phone
(801) 479-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X NU Primary

Addresses

Primary practice location

323 S 2000 W
Syracuse, UT 84075-6001

Mailing address

323 S 2000 W
Syracuse, UT 84075-6001
Phone (385) 383-2100

Other names 1

  • Syracuse FSED, a department of Ogden Regional Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2308696Ogden Regional Syracuse Emergency Center323 South 2000 West, Syracuse, UT 84075RegistrationJul 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Blanch G Thomas7 organizations share this tax ID, including this one
Part of
Blanch G Thomas

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1831032382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S 2000 W",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840756001",
            "telephone_number": "385-383-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S 2000 W",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840756001",
            "telephone_number": "385-383-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA OGDEN MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA OGDEN MEDICAL CENTER, INC.",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-479-2111"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "address_2": "Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Syracuse FSED, a department of Ogden Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syracuse, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.