Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Noel Nellis, MD

Organization Clinic/Center · NPI 1447644240

Noel Nellis, MD is a Clinic/Center in South Ogden, Utah. Licensed in Utah. Registered with an NPI since 2015.

Licensed in
UT
In the registry since
2015
Specialties on file
3

Practice location Address checks out

831 E 5875 S
South Ogden, UT 84405-4997
Phone: (801) 479-9715
Fax: (801) 479-9452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X · Licence 146023-1205 (UT)
Clinic/Center Taxonomy 261Q00000X · Licence 146023-1205 (UT)
Point of Service Taxonomy 305S00000X · Licence 146023-1205 (UT)

Record details

NPI number1447644240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Noel Nellis — Physician & Surgeon · (801) 479-9715
NPI enumeratedMarch 19, 2015
Last updated in NPPESMarch 19, 2015
Mailing address831 E 5875 S, South Ogden, UT 84405-4997

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