DR. LEE CARL SCHUSSMAN M.D. NPI 1053481986

NPI Information

  • NPI: 1053481986
  • Provider Name: DR. LEE CARL SCHUSSMAN, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 2400 N WASHINGTON BLVD
    NORTH OGDEN, UT
    ZIP 84414
  • Phone: (801) 786-7500

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NPI Details

DR. Lee Carl Schussman, M.D. is a family medicine in North Ogden, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Lee Carl Schussman, M.D. NPI is 1053481986. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2400 N WASHINGTON BLVD
NORTH OGDEN, UT
ZIP 84414-233
Phone: (801) 786-7500

The enumeration date for this NPI number is 11/8/2006 and was last updated on 7/9/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine1553861205UTAHYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1005528104MEDICARE PIN
2005531354MEDICARE PIN
304741MEDICAIDUTAH
4000063514MEDICARE PINUTAH
5000059996MEDICARE PIN
6C63867MEDICARE UPIN
7000004741MEDICARE PIN

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: 11/21/2025

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