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UTAH PAIN & REHAB INC. NPI 1689788762


NPI Information

NPI: 1689788762
Provider Name: UTAH PAIN & REHAB INC.
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 46D2008016

Address:
1276 WALL AVE
OGDEN, UT
ZIP 84404
Phone: (801) 337-4000
Get Directions

UTAH PAIN & REHAB INC. is a pain medicine anesthesiology in Ogden, UT. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. UTAH PAIN & REHAB INC. NPI is 1689788762. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1276 WALL AVE
OGDEN, UT
ZIP 84404-657
Phone: (801) 337-4000
Fax: (801) 337-4002

The provider's authorized official is Russell Scott Wahlen .
The authorized official title is President and has the following contact phone number (801) 337-4000.

The CLIA number assigned to this NPI record is 46D2008016 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 5/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor346009-1202UTAHNo
2111N00000XChiropractor273153-1202UTAHNo
32081P2900XPhysical Medicine & RehabilitationPain Medicine537865-1205UTAHNo
4363L00000XNurse Practitioner347196-4405UTAHNo
5363L00000XNurse Practitioner223876-4405UTAHNo
6207LP2900XAnesthesiologyPain Medicine77062171205UTAHNo
7207LP2900XAnesthesiologyPain Medicine58673691205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000057143MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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