MR. RICHARD C TEBBS II (NPI# 1053677245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053677245 |
| Entity Type | Individual |
| Full Name | MR. RICHARD C TEBBS II |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
544 S 400 E St George UT 84770-3705 |
| Mailing Address |
578 Cambridge Dr St George UT 84770-4059 |
| Practice Telephone | 4356884900 |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
8251081-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
544 S 400 E |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-3705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205813474 | Rusty A Moore | Physical Medicine & Rehabilitation | 544 S 400 E, 5th Floor, St George, UT 84770-3705 | 2005-12-28 |
| 1265069066 | Ihc Health Services Inc | Internal Medicine | 544 S 400 E, St George, UT 84770-3705 | 2020-03-24 |
| 1477005783 | Nicole Cummins | Nurse Practitioner | 544 S 400 E, St George, UT 84770-3705 | 2016-11-03 |
| 1831558204 | Elisa Edwards | General Acute Care Hospital | 544 S 400 E, St George, UT 84770-3705 | 2016-02-15 |
| 1588057152 | Lisa Certonio | Nurse Practitioner | 544 S 400 E, St George, UT 84770-3705 | 2015-03-06 |
| 1073924312 | Nathaniel William Seck | Psychiatry & Neurology | 544 S 400 E, St George, UT 84770-3705 | 2014-05-08 |
| 1235481375 | Min Li | Nurse Practitioner | 544 S 400 E, St George, UT 84770-3705 | 2012-10-14 |
| 1215291992 | Matt Trane Webb | Nurse Practitioner | 544 S 400 E, St George, UT 84770-3705 | 2012-06-27 |
| 1528339769 | Ihc Health Services Inc | Family Medicine | 544 S 400 E, St George, UT 84770-3705 | 2012-01-19 |
| 1417238601 | Ihc Health Services Inc | Preventive Medicine | 544 S 400 E, St George, UT 84770-3705 | 2011-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710416649 | Brian Adams | Physician Assistant | 1308 E 900 S # C, St George, UT 84790-8520 | 2017-06-05 |
| 1144403114 | Gay Sleight | Physician Assistant | 558 E Riverside Dr Suite 200, St George, UT 84790 | 2007-12-12 |
| 1255788303 | Elijah Adam Fielding | Physician Assistant | 25 N 100 E Ste 102, St George, UT 84770-7369 | 2016-05-18 |
| 1457610255 | Bonnie Lynn Wood | Physician Assistant | 1036 E Riverside Dr, St George, UT 84790-4477 | 2012-05-14 |
| 1407159130 | Brian Dwayne Lefler | Physician Assistant | 301 N 200 E Ste 2a, St George, UT 84770-3040 | 2010-12-20 |
| 1386876761 | Ethan Lowell Snyder | Physician Assistant | 368 E Riverside Dr, Suite A, St George, UT 84790-6896 | 2009-08-18 |
| 1306063912 | Holly Marie Ferguson | Physician Assistant | 544 S 400 E, St George, UT 84770-3705 | 2007-04-18 |
| 1659405314 | Mark W Udy | Physician Assistant | 1490 E Foremaster Dr Ste 220, St George, UT 84790-4498 | 2007-03-15 |
| 1285735688 | Cortney A Bernardo | Physician Assistant | 1490 E Foremaster Dr, Ste 220, St George, UT 84790-4488 | 2006-09-26 |
| 1508962309 | Lee S Hogan | Physician Assistant | 1067 E Tabernacle St, Ste 7, St George, UT 84770-3163 | 2006-09-16 |
| Find all providers in ST GEORGE | ||||
Please comment or provide details below to improve the information on MR. RICHARD C TEBBS II.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.