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

Nickolas Gangwer, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942610993

Nickolas Gangwer, DO is an Internal Medicine in Ogden, Utah. Qualified in 2014, 12 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
12
Licensed in
UT
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4403 Harrison Blvd Ste 3875
Ogden, UT 84403-3332
Phone: (801) 387-7950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 15855 19 Mile Rd, Clinton Township, MI 48038-3504 — (586) 263-2300
  • 15855 19 Mile Rd, Clinton Township, MI 48038-3504 — (586) 263-2300

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 10280090-1204 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942610993
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 29, 2014
Last updated in NPPESMarch 17, 2018
Mailing address4403 Harrison Blvd Ste 3875, Ogden, UT 84403-3332

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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