Active NPI 1851563779 Individual Practitioner Male Practitioner

Dr. Adam Read Taintor , MD

Dermatology • Ogden, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Adam Taintor, MD is a certified Dermatology practicing in Ogden, UT. With approximately 19 years of clinical experience since graduating from University Of Utah School Of Medicine in 2007, Dr. Taintor delivers high-quality medical care to the local community at 3860 JACKSON AVE STE 2.

Dr. Taintor is affiliated with Ogden Clinic Specialty Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, test for allergy using skin patch, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3860 Jackson Ave Ste 2

Ogden, UT 84403

Telephone 8016270515

Fax 8016270517

Associated Practice Facility / Clinic

🏢 Intermountain Skin Cancer & Esthetics Center Pc Facility NPI 1487687430

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Ogden, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -2.7 yrs vs City Avg

City Avg: 21.7 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

5 Specialists

Practicing in Ogden, UT (184 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

43.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Taintor (19 Years) 19 Yrs

Ogden Specialty Average (21.7 Years) 21.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,525	310	$20.00	$6.44
95044 Test for allergy using skin patch	894	11	$11.00	$4.77
99213 Established patient office or other outpatient visit, typically 15 minutes	693	474	$133.00	$88.75
17000 Destruction of skin growth	595	417	$125.00	$55.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	430	285	$182.00	$125.56
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	288	237	$24.00	$16.09
11102 Tangential biopsy of single skin lesion	185	155	$195.00	$91.75
17110 Destruction of up to 14 skin growths	117	104	$171.00	$108.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$167.00	$108.97
11103 Biopsy of related skin growth, each additional growth	47	27	$105.00	$48.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$254.00	$164.79
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	24	20	$261.00	$151.09
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	20	19	$227.00	$134.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	19	12	$6.47	$0.98
11900 Injection into skin growth, 1-7 growths	16	11	$85.00	$45.86
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	16	$466.00	$296.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$83.00	$55.67
10060 Simple or single drainage of skin abscess	13	12	$193.00	$119.73
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$384.00	$124.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,496	309	$14.04	$6.39
95044 Test for allergy using skin patch	984	12	$9.46	$4.70
99213 Established patient office or other outpatient visit, typically 15 minutes	878	598	$169.12	$87.25
17000 Destruction of skin growth	599	427	$128.08	$55.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	253	167	$228.33	$123.70
11102 Tangential biopsy of single skin lesion	162	133	$194.23	$91.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$209.70	$108.34
17110 Destruction of up to 14 skin growths	97	80	$212.02	$105.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	57	$107.15	$54.47
11103 Biopsy of related skin growth, each additional growth	44	30	$96.87	$48.35
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	31	22	$343.28	$141.71
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	30	28	$334.97	$153.58
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	24	18	$2.64	$1.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$310.44	$156.31
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	21	17	$272.71	$118.71
11900 Injection into skin growth, 1-7 growths	20	18	$108.18	$43.96
36415 Insertion of needle into vein for collection of blood sample	19	13	$20.26	$7.99
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	12	$320.22	$123.63
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$584.44	$280.70
69100 Biopsy of ear	12	12	$181.67	$89.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,792	344	$12.94	$6.48
99213 Established patient office or other outpatient visit, typically 15 minutes	894	562	$175.64	$87.85
17000 Destruction of skin growth	677	452	$129.42	$54.20
11102 Tangential biopsy of single skin lesion	189	157	$197.12	$89.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	112	$248.30	$123.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	134	134	$216.82	$108.51
17110 Destruction of up to 14 skin growths	116	100	$217.62	$103.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	83	$108.92	$54.54
11103 Biopsy of related skin growth, each additional growth	60	36	$98.48	$49.38
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	38	31	$347.44	$148.81
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	33	28	$344.84	$162.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	33	16	$2.35	$0.98
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$140.58	$70.32
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	24	$586.24	$294.33
11900 Injection into skin growth, 1-7 growths	24	16	$109.36	$43.25
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	19	$397.34	$194.48
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	21	$364.82	$174.83
69100 Biopsy of ear	19	18	$186.98	$73.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$324.26	$162.87
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	17	15	$319.78	$136.89
36415 Insertion of needle into vein for collection of blood sample	15	12	$19.00	$2.96
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	14	13	$284.52	$127.61
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$472.44	$118.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,045	356	$12.46	$6.25
95044 Test for allergy using skin patch	1,145	15	$10.18	$5.14
99213 Established patient office or other outpatient visit, typically 15 minutes	900	576	$176.55	$88.69
17000 Destruction of skin growth	706	462	$126.92	$52.48
11102 Tangential biopsy of single skin lesion	180	161	$199.15	$91.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	115	$250.94	$126.48
17110 Destruction of up to 14 skin growths	135	117	$217.23	$103.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	122	$108.17	$54.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$216.97	$109.06
11103 Biopsy of related skin growth, each additional growth	50	34	$101.22	$51.08
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	42	34	$343.33	$154.67
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	36	30	$346.23	$150.31
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	24	$593.93	$299.33
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	21	17	$284.78	$112.96
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	18	18	$319.38	$116.51
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	15	$363.20	$178.01
69100 Biopsy of ear	17	17	$190.37	$76.30
17004 Destruction of precancer skin growth, 15 or more growths	14	11	$317.70	$160.39
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$140.46	$70.70
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	11	$397.42	$177.48
11900 Injection into skin growth, 1-7 growths	12	11	$108.31	$36.44
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	12	11	$198.08	$78.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,455	281	$11.53	$5.78
95044 Test for allergy using skin patch	960	12	$10.04	$5.05
99213 Established patient office or other outpatient visit, typically 15 minutes	598	389	$146.12	$73.28
17000 Destruction of skin growth	532	355	$126.77	$53.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	242	199	$212.34	$106.46
11102 Tangential biopsy of single skin lesion	155	133	$193.05	$88.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	72	$88.04	$44.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$209.94	$103.17
17110 Destruction of up to 14 skin growths	61	53	$215.27	$102.21
11103 Biopsy of related skin growth, each additional growth	53	30	$102.83	$51.76
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$147.90	$74.38
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	36	27	$343.33	$136.97
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	36	20	$2.90	$1.44
11900 Injection into skin growth, 1-7 growths	28	20	$106.98	$38.45
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	22	20	$347.36	$154.99
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	19	$586.86	$287.52
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	15	$399.84	$183.34
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	15	$527.71	$132.56
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	16	15	$282.32	$119.69
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	16	14	$594.34	$289.22
10060 Simple or single drainage of skin abscess	14	12	$236.33	$118.91
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	12	$364.85	$162.88
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	12	11	$223.80	$103.26
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	12	11	$192.69	$80.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,451	283	$30.79	$5.46
95044 Test for allergy using skin patch	830	11	$13.83	$5.36
99213 Established patient office or other outpatient visit, typically 15 minutes	715	481	$123.63	$72.01
17000 Destruction of skin growth	587	386	$106.76	$51.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	197	157	$78.31	$43.51
17110 Destruction of up to 14 skin growths	163	144	$171.34	$102.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	103	$191.34	$105.81
11102 Tangential biopsy of single skin lesion	122	109	$192.05	$85.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$181.24	$104.26
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	31	25	$346.85	$150.18
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	24	$321.91	$149.51
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$131.87	$74.21
11103 Biopsy of related skin growth, each additional growth	25	18	$91.99	$49.57
11900 Injection into skin growth, 1-7 growths	18	12	$96.55	$45.47
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	17	16	$181.85	$106.25
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	15	$489.78	$294.80
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	15	14	$195.59	$107.86
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	15	12	$156.54	$78.02
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	12	$241.68	$103.34
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	12	12	$521.25	$292.74
69100 Biopsy of ear	12	11	$190.85	$95.12
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$523.21	$132.49
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$358.01	$200.41
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$361.32	$174.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,691	324	$42.50	$4.96
95044 Test for allergy using skin patch	880	11	$16.00	$5.20
99213 Established patient office or other outpatient visit, typically 15 minutes	792	525	$104.34	$68.88
17000 Destruction of skin growth	650	432	$95.00	$51.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	210	179	$75.00	$41.29
11100 Biopsy of single growth of skin and/or tissue	183	166	$158.44	$91.42
17110 Destruction of up to 14 skin growths	154	136	$157.47	$101.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	60	$151.00	$102.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$155.21	$102.04
11101 Biopsy of each additional growth of skin and/or tissue	72	44	$75.00	$31.20
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	43	36	$343.00	$157.05
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$125.00	$70.91
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	24	$305.00	$139.97
11900 Injection into skin growth, 1-7 growths	18	14	$88.06	$44.27
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	18	18	$292.00	$133.08
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	17	$406.47	$267.52
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	16	12	$229.00	$101.82
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	14	$330.93	$187.29
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$350.00	$142.54
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	11	$358.00	$156.44
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$495.00	$128.74
96573 Application of light by qualified health care professional to destroy precancer skin growth	12	12	$400.00	$173.18
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	11	11	$415.64	$278.70
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	11	11	$441.00	$398.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,895	318	$42.55	$5.39
95044 Test for allergy using skin patch	831	12	$16.00	$5.31
99213 Established patient office or other outpatient visit, typically 15 minutes	692	472	$95.16	$70.53
17000 Destruction of skin growth	627	414	$95.00	$52.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	215	168	$75.00	$41.68
11100 Biopsy of single growth of skin and/or tissue	172	153	$148.60	$87.14
17110 Destruction of up to 14 skin growths	139	119	$150.00	$98.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	120	120	$150.00	$103.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	57	$125.00	$104.03
11101 Biopsy of each additional growth of skin and/or tissue	73	52	$73.47	$30.67
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	72	54	$343.00	$143.34
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$125.00	$72.32
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	27	$305.00	$148.67
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	25	21	$229.00	$104.43
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	24	$390.00	$285.15
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	22	22	$292.00	$132.19
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	16	$416.00	$192.07
11900 Injection into skin growth, 1-7 growths	17	14	$85.00	$47.42
17004 Destruction of precancer skin growth, 15 or more growths	16	15	$456.00	$144.77
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$407.00	$152.43
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$358.00	$157.08
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	11	$350.00	$119.83
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$495.00	$131.55

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License UT 7890794-1205

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License UT 7890794-1205

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Dermatology - Dermatopathology

NUCC Taxonomy Code: 207ND0900X

State License UT 7890794.1205

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Hospital & Practice Group Affiliations

Ogden Clinic Specialty Services Llc

4650 Harrison Blvd, Ogden, UT 844034303

Phone: 8014753482

Secondary Practice Locations

3860 Jackson Ave Ste 2

Ogden, UT 84403

Phone: 8016270515

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Brennon Flannery , PA-C

Physician Assistant

NPI 1124785233

Physician Assistant (Certified)

Galen Jones , PA, C

Physician Assistant - Medical

NPI 1417975921

Physician Assistant, C

David Allen

Specialist

NPI 1487672986

Cristina Refahiyat

Physician Assistant

NPI 1609374651

Dr. David Allen , MD

Specialist

NPI 1619995107

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location September 13, 2019

Registered at 3860 JACKSON AVE STE 2, OGDEN, UT 84403 (Tel: 8016270515)

📍

Updated Business Mailing Address September 13, 2019

Registered at 3860 JACKSON AVE STE 2, OGDEN, UT 844031979 (Tel: 8016270515)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2019

Dermatology (License #7890794-1205 in UT)

✅

NPI Profile Active September 28, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2012

Registered at 9450 S 1300 E, SANDY, UT 840945555 (Tel: 8015016200)

📍

Updated Business Mailing Address September 28, 2012

Registered at 9450 S 1300 E, SANDY, UT 840945555 (Tel: 8015016200)

👤

Provider Name / Credentials Updated September 28, 2012

Recorded as ADAM TAINTOR, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2012

Dermatology (License #7890794-1205 in UT)

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Initial NPI Registration & Enumeration April 01, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1851563779

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 01, 2008

Last Update: September 13, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3860 Jackson Ave Ste 2

Ogden, UT 844031979

Phone: 8016270515

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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