OGDEN CLINIC SPECIALTY SERVICES LLC NPI 1114203668

NPI Information

  • NPI: 1114203668
  • Provider Name: OGDEN CLINIC SPECIALTY SERVICES LLC
  • Classification: Family Medicine - 207QS0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • :
  • CLIA Number: 46D2281621
  • Address: 4650 HARRISON BLVD
    OGDEN, UT
    ZIP 84403
  • Phone: (801) 475-3000

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NPI Details

OGDEN CLINIC SPECIALTY SERVICES LLC is a sports medicine family medicine in Ogden, UT. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. OGDEN CLINIC SPECIALTY SERVICES LLC NPI is 1114203668. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

4650 HARRISON BLVD
OGDEN, UT
ZIP 84403-303
Phone: (801) 475-3000
Fax: (801) 475-3494

The provider's authorized official is David Cope .
The authorized official title is Board President and has the following contact phone number (801) 475-3482.

The CLIA number assigned to this NPI record is 46D2281621 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/28/2011 and was last updated on 4/29/2025.

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
1208100000XPhysical Medicine & RehabilitationNo
2208600000XSurgeryNo
3208800000XUrologyNo
4213E00000XPodiatristNo
5207Y00000XOtolaryngologyNo
6207RG0100XInternal MedicineGastroenterologyNo
7207RH0003XInternal MedicineHematology & OncologyNo
8207T00000XNeurological SurgeryNo
9207X00000XOrthopaedic SurgeryNo
10103G00000XClinical NeuropsychologistNo
11207XS0106XOrthopaedic SurgeryHand SurgeryNo
12207N00000XDermatologyNo
13207ND0101XDermatologyMOHS-Micrographic SurgeryNo
14207XX0005XOrthopaedic SurgerySports MedicineNo
15207QS0010XFamily MedicineSports MedicineYes

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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