Wasatch Dermatology, PC
NPI 1891176939ActiveOrganization· Dermatology· Ogden, UT
Dermatology in Ogden, Utah, registered in NPPES in June 2015. The authorized official on file is Stacy S. Storey, Medical Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891176939 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2015 |
| Last updated in NPPES | Jan 10, 2025 |
| Certified by provider | Jan 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 53377011205 | UT |
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) |
|---|
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