OGDEN CLINIC SPECIALTY SERVICES LLC
OGDEN CLINIC SPECIALTY SERVICES LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1114203668, based in Ogden, UT. The organization lists 15 taxonomy classifications, with Sports Medicine (Family Medicine) Physician recorded as primary.
Getting there
The practice address on file is 4650 HARRISON BLVD, Ogden, UT 84403. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1658781422
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Utah | O20201105001806 | Part B Supplier - Clinic/group Practice |
| Utah | O20210223002255 | Dme Supplier - Multi-specialty - Physician |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Sports Medicine covers
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. NUCC Health Care Provider Taxonomy, code 207QS0010X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207QS0010X | Sports Medicine (Family Medicine) Physician Sports Medicine | — | — | primary |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | |
| 208600000X | Surgery Physician | — | — | |
| 208800000X | Urology Physician | — | — | |
| 213E00000X | Podiatrist | — | — | |
| 207Y00000X | Otolaryngology Physician | — | — | |
| 207RG0100X | Gastroenterology Physician Gastroenterology | — | — | |
| 207RH0003X | Hematology & Oncology Physician Hematology & Oncology | — | — | |
| 207T00000X | Neurological Surgery Physician | — | — | |
| 207X00000X | Orthopaedic Surgery Physician | — | — | |
| 103G00000X | Clinical Neuropsychologist | — | — | |
| 207XS0106X | Orthopaedic Hand Surgery Physician Hand Surgery | — | — | |
| 207N00000X | Dermatology Physician | — | — | |
| 207ND0101X | MOHS-Micrographic Surgery Physician MOHS-Micrographic Surgery | — | — | |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician Sports Medicine | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1114203668 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 28, 2011 |
| Last updated | Apr 29, 2025 |
| Status | Active |
| Practice address |
4650 HARRISON BLVD Ogden, UT 84403 (801) 475-3000 Fax (801) 475-3494 |
| Mailing address |
PO BOX 5546 Denver, CO 80217 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 1 | 4 | 2 | 0 | 3 | 6 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 2 | 4 | 4 | 0 | 6 | 6 | 3 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.