Wasatch Podiatry PLLC
NPI 1114224805ActiveOrganization· Podiatrist· Ogden, UT
Podiatrist in Ogden, Utah, registered in NPPES in February 2011. The authorized official on file is Susan Agres, DPM, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114224805 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 16, 2011 |
| Last updated in NPPES | Mar 10, 2026 |
| Certified by provider | Mar 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 7259622-0501 | UT |
| Clinic/Center, Podiatric | 261QP1100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
Other Podiatrist providers in Ogden
- 1316360522
- 1003946823
- 1538318951
- 1144200155
- 1144635038
- 1790312072
- 1093791311
- 1225129117
- 1750070066
- 1316935117
- 1013905819
- 1437401932