Wasatch Dermatology, PC
NPI 1891176939 · Dermatology Physician · Ogden, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wasatch Dermatology, PC is a Dermatology Physician organization in Ogden, UT (NPI 1891176939).
Provider details
- NPI number
- 1891176939
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stacy Storey, Medical Office Manager(801) 475-5210
- License
- 53377011205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Registry dates
- Enumerated
- 2015-06-15
- Last updated
- 2025-01-10
- Certified
- 2025-01-10
Frequently asked questions
- What is Wasatch Dermatology, PC's NPI number?
- Wasatch Dermatology, PC's National Provider Identifier (NPI) is 1891176939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wasatch Dermatology, PC?
- Wasatch Dermatology, PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Wasatch Dermatology, PC located?
- Wasatch Dermatology, PC's practice location on file with NPPES is 5734 S 1475 E Ste 300, Ogden, UT 84403-4698.
- What is Wasatch Dermatology, PC's phone number?
- The practice phone number listed in the NPPES registry for Wasatch Dermatology, PC is (801) 475-5210.
- Does Wasatch Dermatology, PC accept Medicare?
- Wasatch Dermatology, PC 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 Wasatch Dermatology, PC?
- The authorized official listed on Wasatch Dermatology, PC's NPPES record is Stacy Storey, Medical Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wasatch Dermatology, PC's NPI active?
- Yes — Wasatch Dermatology, PC's NPI (1891176939) is active in the NPPES registry as of the last update on 2025-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.