ADVANCED PAIN CLINIC NPI 1942580162

NPI Information

  • NPI: 1942580162
  • Provider Name: ADVANCED PAIN CLINIC
  • Classification: Physical Medicine & Rehabilitation - 2081P2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 46D1054222
  • Address: 6028 S RIDGELINE DR
    SUITE 101
    OGDEN, UT
    ZIP 84405
  • Phone: (801) 409-2044

Map and Directions

Get Directions

NPI Details

ADVANCED PAIN CLINIC is a pain medicine physical medicine rehabilitation in Ogden, UT. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. ADVANCED PAIN CLINIC NPI is 1942580162. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6028 S RIDGELINE DR
SUITE 101
OGDEN, UT
ZIP 84405-914
Phone: (801) 409-2044
Fax: (801) 475-4948

The provider's authorized official is Tawna H Goulding .
The authorized official title is Office Administrator and has the following contact phone number (801) 409-2044.

The CLIA number assigned to this NPI record is 46D1054222 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2011 and was last updated on 8/18/2011.

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
12081P2900XPhysical Medicine & RehabilitationPain Medicine6414842-1204UTAHYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI