MOUNTAINSTAR OGDEN PEDIATRICS LLC
NPI 1265694509
Pediatrics in Ogden, UT
NPI Status: Active since June 27, 2008
Contact Information
5495 S 500 E
SUITE 120
OGDEN, UT
ZIP 84405
Phone: (801) 479-0174
Fax: (801) 479-8888
- Organization
- Pediatrics
- Accepts Insurance
- CLIA Number: 46D0525121
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-31-2026
About MOUNTAINSTAR OGDEN PEDIATRICS LLC
This page provides the complete NPI Profile along with additional information for Mountainstar Ogden Pediatrics Llc, a pediatrician established in Ogden, Utah operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1265694509 assigned on June 2008. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Louis Joseph (Vp)
- NPI
- 1265694509
- Provider Name
- MOUNTAINSTAR OGDEN PEDIATRICS LLC
- Entity Type
- Organization
- Location Address
- 5495 S 500 E SUITE 120 OGDEN, UT 84405
- Location Phone
- (801) 479-0174
- Location Fax
- (801) 479-8888
- Mailing Address
- 2000 HEALTH PARK DR BRENTWOOD, TN 37027
- Mailing Phone
- (615) 373-7406
- Mailing Fax
- (801) 479-8888
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-27-2008
- Last Update Date
- 08-29-2023
- Code Navigator
A pediatrician like Mountainstar Ogden Pediatrics Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- BridgeSpan Standard Bronze Plan - HMO
- BridgeSpan Standard Gold Plan - HMO
- BridgeSpan Standard Silver Plan - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- Bronze Essential 8500 Deductible With 4 Copay No Deductible Office Visits - EPO
- Bronze HSA 7000 - EPO
- Gold 2300 - EPO
- Regence Standard Bronze 7500 - EPO
- Regence Standard Gold 1500 - EPO
- Regence Standard Silver 5000 - EPO
- Silver 5000 - EPO
- Silver 6200 - EPO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay - EPO
- Healthy Premier Silver Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1265694509 | MEDICAID (05) | UT |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D0525121
- Facility Type
- Physician Office
- Certificate Effective Date
- August 01, 2024
- Certificate Expiration Date
- July 31, 2026
- Laboratory Director
- KENNETH E. STEVENSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mountainstar Ogden Pediatrics Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MOUNTAINSTAR OGDEN PEDIATRICS LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 6 | 9 | 4 | 5 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 12 | 9 | 8 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 2 + 9 + 8 + 5 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1265694509 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326002973 | ALLYN PATRICK ROSE MD Individual | Pediatrics | 5495 S 500 E STE 330 OGDEN, UT 84405 (801) 476-2717 |
| 1922066646 | RODNEY GEORGE MARRIOTT MD Individual | Obstetrics & Gynecology | 5495 S 500 E SUITE 310 OGDEN, UT 84405 (801) 479-0361 |
| 1831203363 | LAURA WILKINSON CNM Individual | Midwife | 5495 S 500 E SUITE 320 OGDEN, UT 84405 (801) 476-7300 |
| 1447359039 | DR. KATHIE ELLEN COOPERSMITH M.D. Individual | Pediatrics | 5495 S 500 E STE 120 OGDEN, UT 84405 (801) 479-0174 |
| 1427254135 | DAVID F CASTRO PA-C Individual | Physician Assistant (Medical) | 5495 S 500 E STE 120 OGDEN, UT 84405 (801) 479-0174 |
| 1235335944 | JAN M CASTRO PA-C Individual | Physician Assistant (Medical) | 5495 S 500 E STE 120 OGDEN, UT 84405 (801) 479-0174 |
| 1396994786 | CHRISTINA MARIE FRANCIS, PLLC Organization | Advanced Practice Midwife | 5495 S 500 E SUITE 320 OGDEN, UT 84405 (801) 476-7300 |
| 1316087273 | MRS. DEBORAH JEANNE BURNS NNP Individual | Nurse Practitioner (Neonatal) | 5495 S 500 E SUITE 100 OGDEN, UT 84405 (801) 476-4280 |
| 1881755817 | TRAYSA S SMITH PA-C Individual | Physician Assistant | 5495 S 500 E STE 310 OGDEN, UT 84405 (801) 475-3100 |
| 1659589737 | AMBER DAWN WHITEAR MD Individual | Obstetrics & Gynecology | 5495 S 500 E STE 310 OGDEN, UT 84405 (801) 475-3100 |
| 1265695019 | ALEXANDER J LARSON MD Individual | Obstetrics & Gynecology | 5495 S 500 E STE 310 OGDEN, UT 84405 (801) 475-3100 |
| 1619121738 | MARI R STUART CNM, WHNP Individual | Midwife | 5495 S 500 E STE 310 OGDEN, UT 84405 (801) 475-3100 |
| 1871810135 | SCOTT AUSTIN RYNEARSON DO Individual | Obstetrics & Gynecology | 5495 S 500 E STE 310 OGDEN, UT 84405 (801) 475-3100 |
| 1598805566 | PINNACLE FAMILY CARE Organization | Family Medicine | 5495 S 500 E SUITE 100 OGDEN, UT 84405 (801) 475-7100 |
| 1336289610 | PINNACLE FAMILY CARE Organization | Family Medicine | 5495 S 500 E SUITE 100 OGDEN, UT 84405 (801) 475-7100 |
| 1386847127 | PINNACLE FAMILY CARE PC Organization | Family Medicine | 5495 S 500 E STE 100 OGDEN, UT 84405 (801) 475-7100 |
| 1902197106 | GYNECOLOGY SPECIALISTS OF UTAH, LLC Organization | Obstetrics & Gynecology (Gynecology) | 5495 S 500 E OGDEN, UT 84405 (801) 476-4200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265694509, enumerated in the NPI registry as an "organization" on June 27, 2008
The provider is located at 5495 S 500 E Suite 120 Ogden, Ut 84405 and the phone number is (801) 479-0174
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Aetna CVS Health, BridgeSpan Health Company,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 46D0525121 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 27, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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