Provider Demographics
NPI:1518169929
Name:OGDEN ORTHOPAEDIC SPECIALISTS, LLC
Entity Type:Organization
Organization Name:OGDEN ORTHOPAEDIC SPECIALISTS, LLC
Other - Org Name:OGDEN ORTHPAEDIC SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-387-2600
Mailing Address - Street 1:4403 HARRISON BLVD
Mailing Address - Street 2:SUITE 2600
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-3271
Mailing Address - Country:US
Mailing Address - Phone:801-387-2600
Mailing Address - Fax:801-387-2625
Practice Address - Street 1:3225 W GORDON AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-8769
Practice Address - Country:US
Practice Address - Phone:801-387-2600
Practice Address - Fax:801-387-2625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT51866291205207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty