Elena L Goncharova MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

53786511205 Issued in UT

Legal business name

ELENA L GONCHAROVA MD PC

Practice address

425 E 5350 S
Ste 335
Ogden, UT 84405-6946

Phone

(801) 475-5100

Fax

(801) 475-8580

NPI assigned

Jun 19, 2007

Last updated

May 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elena L Goncharova, MD

Title

President

Phone

(801) 475-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Seth R Lewis, MD

  • Internal Medicine Physician
  • Ogden, UT
  • NPI 1851409544
  NPD

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1912102997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150610",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844150610",
            "telephone_number": "801-476-9200",
            "fax_number": "801-476-9208"
        },
        {
            "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": "844056946",
            "telephone_number": "801-475-5100",
            "fax_number": "801-475-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA L GONCHAROVA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "GONCHAROVA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-475-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "53786511205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNERS SSN",
            "identifier": "$$$$$$$$$",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Egan, PHARMD
• Stacie Egan, NP
• Bryce Larre Egbert, MD
• Ashley Dawn Eggers, M.D.
• Randall Elcess
• Elevate Surgical PC
• Elevated Performance and Rehabilitation
• Mayte Janeth Elias-Zuniga
• Eric G Eliason, D.O.
• Kyle Joseph Eliason, M.D.

• Internal Medicine Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.