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

Jack Edward Stephens, MD

Individual provider Internal Medicine Physician · NPI 1073991915

Jack Edward Stephens, MD is an Internal Medicine in Ogden, Utah. Graduated from Albany Medical College of Union University in 2015, 11 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Arizona and Utah.

Years since qualifying
11
Trained at
Albany Medical College of Union University
Licensed in
AZ, UT
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4401 Harrison Blvd
Ogden, UT 84403
Phone: (801) 387-3709
Fax: (801) 387-3725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 10476493-1205 (UT)
Internal Medicine Physician Taxonomy 207R00000X · Licence R74955 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 10476493-8905 (UT)

Record details

NPI number1073991915
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2015
Last updated in NPPESJune 21, 2018
Mailing address6140 Sharon Cir, Ogden, UT 84403-5008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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