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Deactivated NPI 1205833050 Deactivated / Inactive NPI Male Practitioner

Dr. Christopher Penka , MD

Specialist • Ogden, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Christopher Penka has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2005
NPI Deactivation Date May 08, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Penka, MD was a registered Specialist practicing in Ogden, UT. Throughout an active medical career spanning 19 years, Dr. Penka provided care at the practice location at 4403 HARRISON BLVD until profile deactivation on 2024-05-08.

Practice Location & Contact Primary Location

Practice Address

4403 Harrison Blvd
Suite 1815

Ogden, UT 844033271

Telephone 8013876520
Fax 8013876557
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Ogden, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 33.4 Yrs
Regional Practice Density
10 Specialists

Practicing in Ogden, UT (427 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License UT 811667271205

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Dennis Winters , MD

Neurological Surgery

NPI 1194769604

Doctor of Medicine (M.D.)

Paul Schlaich , PA-C

Physician Assistant

NPI 1356355986

Physician Assistant (Certified)

James Joseph , PA-C

Physician Assistant - Surgical

NPI 1720315252

Physician Assistant (Certified)

Loran Archuleta , FNP-C

Nurse Practitioner

NPI 1770635096

Family Nurse Practitioner (Certified)

Kristy Janssen , PA-C

Physician Assistant - Medical

NPI 1871698084

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 08, 2024

Record deactivated on May 08, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4403 HARRISON BLVD, SUITE 1815, OGDEN, UT 844033271 (Tel: 8013876520)

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Updated Business Mailing Address July 08, 2007

Registered at 4403 HARRISON BLVD, SUITE 1815, OGDEN, UT 844033271 (Tel: 8013876520)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHRISTOPHER PENKA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #811667271205 in UT)

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Initial NPI Registration & Enumeration July 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205833050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2005
Last Update: July 08, 2007
Deactivation Date: May 08, 2024

Mailing Address

4403 Harrison Blvd, Suite 1815

Ogden, UT 844033271

Phone: 8013876520

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.