Dr. Timothy Bock Icenogle , MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) • Ogden, UT
Professional Overview & Biography Verified Profile Summary
Dr. Timothy Icenogle, MD is a registered healthcare professional specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) in Ogden, UT. Practice services are available at 4403 HARRISON BLVD STE 3835 under active NPI credentials.
Practice Location & Contact Primary Location
4403 Harrison Blvd Ste 3835
Ogden, UT 844033331
Specialty Benchmarks & Practice Insights
Comparative analytics for Thoracic Surgery (Cardiothoracic Vascular Surgery) in Ogden, UT
Practicing in Ogden, UT (53 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2022-12-13NUCC Taxonomy Code: 208G00000X
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
NUCC Taxonomy Code: 204F00000X
A surgeon who specializes in transplant surgery.
NUCC Taxonomy Code: 208G00000X
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
NUCC Taxonomy Code: 208G00000X
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
3415 W Horizon Ave
Spokane, WA 992088493
Phone: 5092201900
100 Hillcrest Medical Blvd
Waco, TX 767128897
Phone: 2542022000
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Doctor of Medicine (M.D.)
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Doctor of Medicine (M.D.)
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 4403 HARRISON BLVD STE 3835, OGDEN, UT 844033331 (Tel: 8013873475)
Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128
NPI status registered as active in NPPES database
Registered at 3415 W HORIZON AVE, SPOKANE, WA 992088493 (Tel: 5092201900)
Registered at 3415 W HORIZON AVE, SPOKANE, WA 992088493 (Tel: 5092201900)
Recorded as TIMOTHY ICENOGLE, MD
Transplant Surgery (License #MD00026659 in WA)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Dr. Timothy Icenogle
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
Po Box 27128
Salt Lake City, UT 841270128
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.