MOUNTAINSTAR OGDEN PEDIATRICS LLC – NPI #1265694509
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

MOUNTAINSTAR OGDEN PEDIATRICS LLC is a provider located in OGDEN, UT. NPPES has assigned the NPI number 1265694509 to MOUNTAINSTAR OGDEN PEDIATRICS LLC on June 27, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 3 years ago on Aug 29, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUNTAINSTAR OGDEN PEDIATRICS LLC below.

NPI Profile for
MOUNTAINSTAR OGDEN PEDIATRICS LLC

NPI Number
1265694509
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUNTAINSTAR OGDEN PEDIATRICS LLC
Primary location
5495 S 500 E
SUITE 120
OGDEN, UT 84405-6923
Phone: (801) 479-0174 Fax: (801) 479-8888
Mailing address
2000 HEALTH PARK DR
BRENTWOOD, TN 37027-4525
Phone: (615) 373-7406 Fax: (866) 346-1426
Organization Subpart
No
Authorized Official
LOUIS JOSEPH
VP
Phone: (615) 373-7630
Updated
Certification Date
Aug 29, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MOUNTAINSTAR OGDEN PEDIATRICS LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidUT1265694509
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.