OrganizationActive
Wasatch Podiatry PLLC
NPI 1114224805 · Podiatrist · Ogden, UT
Provider details
- NPI number
- 1114224805
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Susan Agres, Owner(801) 430-8406
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Podiatric Clinic/Center261QP1100X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
1679 Shadow Valley Dr
Ogden, UT 84403-4626
Phone: (801) 430-8406
Fax: (801) 393-6092
Street-level locationGet directions
Mailing address
Po Box 150383
Ogden, UT 84415-0383
Additional practice locations (2)
- 81 E Center StKaysville, UT 84037-1920Phone: (801) 430-8406
- 5275 Adams Ave Pkwy Ste aOgden, UT 84405-7238Phone: (801) 430-8406Fax: (801) 393-6092
Registry dates
- Enumerated
- 2011-02-16
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.