SKYLINE PAIN CLINIC – Pain Medicine Physician, NPI 1053308452

SKYLINE PAIN CLINIC is a healthcare provider. based in Ogden, Utah. specializing in Pain Medicine Physician. The organization holds a License No. 260615 (UT). The NPI Number for SKYLINE PAIN CLINIC is 1053308452

Main info

Organization
Name
SKYLINE PAIN CLINIC
NPI
1053308452
Phone
(801) 476-4448
Address
PO BOX 9519
Authorized Official
DR. JAHAN IMANI OWNER MD
Enumeration Date
30 September 2005
Last Update Date
23 December 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SKYLINE PAIN CLINIC

  • Ogden Post Office, 202, Southwest 4th Street, Ogden, Boone County, Iowa, 50212, United States

    OGDEN, UT 844090519

    Phone: (801) 476-4448

    Fax: (801) 476-4449

    Type: Mailing

  • 5315, Adams Avenue Parkway, Laker Lane Condominium, Washington Terrace, Weber County, Utah, 84405, United States

    SUITE A

    OGDEN, UT 844054766

    Phone: (801) 476-4448

    Fax: (801) 476-4449

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84409)

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Reviews

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Frequently asked questions

What unique ID ties claims to SKYLINE PAIN CLINIC?
NPI 1053308452 is assigned to SKYLINE PAIN CLINIC under the national enumeration system.
Is SKYLINE PAIN CLINIC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does SKYLINE PAIN CLINIC work in?
You can think of SKYLINE PAIN CLINIC as practicing within Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for SKYLINE PAIN CLINIC?
The page summarizes Ogden, Utah for SKYLINE PAIN CLINIC; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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