Ogden Clinic Specialty Services LLC
NPI 1114203668 · Sports Medicine (Family Medicine) Physician · Ogden, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ogden Clinic Specialty Services LLC is a Sports Medicine (Family Medicine) Physician organization in Ogden, UT (NPI 1114203668).
Provider details
- NPI number
- 1114203668
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ogden Clinic PC
- Organization subpart
- Yes
- Authorized official
- David Cope, Board President(801) 475-3482
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Urology Physician208800000X
Allopathic & Osteopathic Physicians
- Podiatrist213E00000X
Podiatric Medicine & Surgery Service Providers
- Otolaryngology Physician207Y00000X
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Other names (DBA / former)
- Doing business as
- Ogden Clinic PC
Registry dates
- Enumerated
- 2011-10-28
- Last updated
- 2025-04-29
- Certified
- 2025-04-29
Frequently asked questions
- What is Ogden Clinic Specialty Services LLC's NPI number?
- Ogden Clinic Specialty Services LLC's National Provider Identifier (NPI) is 1114203668, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ogden Clinic Specialty Services LLC?
- Ogden Clinic Specialty Services LLC is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Ogden Clinic Specialty Services LLC located?
- Ogden Clinic Specialty Services LLC's practice location on file with NPPES is 4650 Harrison Blvd, Ogden, UT 84403-4303.
- What is Ogden Clinic Specialty Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Ogden Clinic Specialty Services LLC is (801) 475-3000.
- Does Ogden Clinic Specialty Services LLC accept Medicare?
- Ogden Clinic Specialty Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ogden Clinic Specialty Services LLC?
- The authorized official listed on Ogden Clinic Specialty Services LLC's NPPES record is David Cope, Board President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ogden Clinic Specialty Services LLC's NPI active?
- Yes — Ogden Clinic Specialty Services LLC's NPI (1114203668) is active in the NPPES registry as of the last update on 2025-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.