MEDICARE: OGDEN ENDOSCOPY CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1568285096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OGDEN ENDOSCOPY CENTER LLC

Provider Business Mailing Address
First Line	:	3903 MEDICAL DR STE 400
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84403-2316
Country	:	US
Telephone Number	:	385-732-1904
Fax Number	:	385-298-4017

Provider Business Practice Location Address
First Line	:	3903 MEDICAL DR STE 400
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84403-2316
Country	:	US
Telephone Number	:	385-732-1904
Fax Number	:	385-298-4017

Authorized Official
Title or Position	:	AP STRATEGIC PARTNERSHIP
Name	:	JEREMY PETERS
Credential	:
Telephone Number	:	303-813-5160

Provider Enumeration Date	:	11/04/2024
Last Update Date	:	11/25/2025

Similar Medicare Providers

1033900725 — COLBIE ROBIN CHRISTOPHER APRN
Practice Location Address:

3903 MEDICAL DR STE 100
OGDEN, UT
84403-2316

Practice Phone: 801-387-8900
Practice Fax:

1336493709 — MONICA L HATCH PA-C
Practice Location Address:

3903 MEDICAL DR STE 100
OGDEN, UT
84403-2316

Practice Phone: 801-387-8900
Practice Fax: 801-387-8920

1265963425 — ALISON BRANDEIS JOHNSON M.D.
Practice Location Address:

3903 MEDICAL DR STE 100
OGDEN, UT
84403-2316

Practice Phone: 801-387-8900
Practice Fax:

1942901251 — NATHAN CASEY
Practice Location Address:

3903 HARRISON BLVD
OGDEN, UT
84403-2316

Practice Phone: 740-525-3121
Practice Fax:

1083570584 — AMY L CALDWELL
Practice Location Address:

1715 E 5825 S APT 1
SOUTH OGDEN, UT
84403-5220

Practice Phone: 385-423-1260
Practice Fax:

1063388346 — PEAK VASCULAR PROFESSIONALS
Practice Location Address:

955 CHAMBERS ST STE 200
SOUTH OGDEN, UT
84403-4519

Practice Phone: 801-441-9665
Practice Fax:

Directions to “OGDEN ENDOSCOPY CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.