OrganizationActive
Provas of Ogden, LLC
NPI 1073170031 · Vascular & Interventional Radiology Physician · South Ogden, UT
Provider details
- NPI number
- 1073170031
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Hewett, Medical Director(801) 386-4896
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5974 Fashion Point Dr Ste 110
South Ogden, UT 84403-4712
Phone: (801) 386-4896
Approximate (ZIP-level) locationGet directions
Mailing address
5974 Fashion Point Dr Ste 110
South Ogden, UT 84403-4712
Registry dates
- Enumerated
- 2019-05-24
- Last updated
- 2019-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.