MARK DUWAYNE DEIS NPI 1821752676

NPI Information

  • NPI: 1821752676
  • Provider Name: MARK DUWAYNE DEIS
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6154 S 2175 E
    OGDEN, UT
    ZIP 84403
  • Phone: (801) 726-3738

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NPI Details

Mark Duwayne Deis is a family nurse practitioner in Ogden, UT with 4 years of experience. Mark Duwayne Deis NPI is 1821752676. 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:

6154 S 2175 E
OGDEN, UT
ZIP 84403-354
Phone: (801) 726-3738

The NPI 1821752676 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2021 and was last updated on 10/18/2022.

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
1163W00000XRegistered Nurse56634973102UTAHNo
2363LF0000XNurse PractitionerFamily5663497-4405UTAHYes

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
11275134132OTHERUTAHCOMMERCIAL INSURANCE
21275134132MEDICAIDUTAH

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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