| Douglas K Anderson, MD | |
|
4650 Harrison Blvd, Ogden, UT 84403-4303 | |
| (801) 475-3072 | |
| (801) 475-3076 |
| Full Name | Douglas K Anderson |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 35 Years |
| Location | 4650 Harrison Blvd, Ogden, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790898807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 292706-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ogden Regional Medical Center | Ogden, UT | Hospital |
| Mckay Dee Hospital | Ogden, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ogden Clinic Specialty Services Llc | 1658781422 | 118 |
| Ogden Clinic Pc | 9638078033 | 101 |
| Entity Name | Ogden Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578550083 PECOS PAC ID: 9638078033 Enrollment ID: O20040105000780 |
| Entity Name | Ogden Clinic Specialty Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114203668 PECOS PAC ID: 1658781422 Enrollment ID: O20201105001806 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas K Anderson, MD Po Box 5546, Denver, CO 80217-5546 Ph: (801) 475-3072 | Douglas K Anderson, MD 4650 Harrison Blvd, Ogden, UT 84403-4303 Ph: (801) 475-3072 |
Dr. Robert Lionel Moesinger, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 3955 Harrison Blvd, Ste U6, Ogden, UT 84403 Phone: 801-393-5324 Fax: 801-393-7780 | |
Dr. Michael Coleman Scheuller, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd, Ste 2645, Ogden, UT 84403 Phone: 801-387-2880 Fax: 801-387-2885 | |
John R Siddoway, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 4650 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3075 Fax: 801-475-3076 | |
Dr. William I Owens Ii, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1100 Country Hills Dr, #200, Ogden, UT 84403 Phone: 801-399-5104 Fax: 801-399-0830 | |
Nadim B Bikhazi, MD Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 4650 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3075 Fax: 801-475-3076 | |
Dr. Ronald F Gordon, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 3955 Harrison Blvd Ste U5, Ogden, UT 84403 Phone: 801-627-1363 Fax: 801-627-4744 | |
Luke W Edelmayer, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4650 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3075 Fax: 801-475-3076 |