COLOR COUNTRY PEDIATRICS, LLC (NPI# 1083650527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083650527 |
| Entity Type | Organization |
| Organization Name | COLOR COUNTRY PEDIATRICS, LLC |
| Practice Address |
1333 N Main St Cedar City UT 84720-9113 |
| Mailing Address |
Po Box 3040 Cedar City UT 84721-3040 |
| Practice Telephone | 4358650218 |
| Practice Fax Number | 4358650228 |
| Mailing Telephone | 4358650218 |
| Mailing Fax Number | 4358650228 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-02-10 |
| Authorized Official Name | BRIAN BURROWS (CEO) |
| Authorized Official Telephone | 4358650218 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
1333 N MAIN ST |
| City | CEDAR CITY |
| State | UT |
| Zip Code | 84720-9113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346232618 | Gia Degiovanni Miller | Pediatrics | 1333 N Main St, Cedar City, UT 84721-9314 | 2005-08-22 |
| 1245675453 | Ihc Health Services Inc | Preventive Medicine | 1333 N Main St, Ste 3, Cedar City, UT 84721-9314 | 2013-05-01 |
| 1811240435 | Ihc Health Services Inc | Family Medicine | 1333 N Main St, Cedar City, UT 84721-5332 | 2012-10-19 |
| 1154641959 | Daralee Kjar | Nurse Practitioner | 1333 N Main St, Ste. 3, Cedar City, UT 84721-9314 | 2010-06-03 |
| 1841523073 | Cathrina Lister | Registered Nurse | 1333 N Main St, Cedar City, UT 84721-9314 | 2009-09-04 |
| 1780817676 | Joseph Lyman Keate | Social Worker | 1333 N Main St, Cedar City, UT 84721-9314 | 2009-08-26 |
| 1598992661 | Cynthia B Wright | Dietitian, Registered | 1333 N Main St, Cedar City, UT 84721-9314 | 2009-06-16 |
| 1366618134 | Rebecca Ann Leavitt | Pharmacist | 1333 N Main St, Cedar City, UT 84720-9113 | 2008-05-01 |
| 1316063084 | Craig Scott Nielson | Pediatrics | 1333 N Main St, Cedar City, UT 84721-9314 | 2007-03-22 |
| 1194811752 | Ihc Health Services Inc | Durable Medical Equipment & Medical Supplies | 1333 N Main St, Suite 102, Cedar City, UT 84721-9314 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255907 | Todd Shakespeare | Pharmacist | 1330 S Providence, Cedar City, UT 84720 | 2020-11-02 |
| 1376165530 | Kirsten Leigh Graham | Psychologist | 351 W University Blvdgeneral Classrooms 308-o, General Classrooms 308-o, Cedar City, UT 84720 | 2020-05-11 |
| 1629556055 | Advanced Balance and Physical Therapy LLC | Clinic/Center | 856 Sage Dr Ste 301b, Cedar City, UT 84720 | 2018-07-28 |
| 1871012567 | Michael Angelo Dawson | Technician, Other | 245 E 680 N, Cedar City, UT 84720 | 2017-09-13 |
| 1114441441 | Asd Sleep LLC | Prosthetic/Orthotic Supplier | 1957 W Royal Hunte Dr, #250, Cedar City, UT 84720 | 2017-07-28 |
| 1073988077 | Southwest Utah Community Health Center | Clinic/Center | 245 East 680 South, Family Healthcare Center East Clinic, Cedar City, UT 84720 | 2015-12-02 |
| 1750710455 | Matthew Reiser | Psychologist | 136 West Center St, Southern Utah University Caps, Cedar City, UT 84720 | 2013-11-04 |
| 1619249471 | Debra Heath | Licensed Practical Nurse | 440 North Paiute Dr., Cedar, UT 84720 | 2012-02-08 |
| 1942591441 | Glendon Arly Pedersen | Technician, Health Information | 57 N. 200 E., Cedar City, UT 84720 | 2011-05-02 |
| 1457642407 | Cody Wayne Hutchings | Technician, Other | 54 North 200 East, Cedar City, UT 84720 | 2011-04-26 |
| Find all providers in zip 84720 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740555846 | Benjamin R Dowse | Pediatrics | 1251 Northfield Rd Ste 301, Cedar City, UT 84721-8625 | 2012-03-21 |
| 1346232618 | Gia Degiovanni Miller | Pediatrics | 1333 N Main St, Cedar City, UT 84721-9314 | 2005-08-22 |
| 1942696562 | Gary C Bosshardt | Pediatrics | 1251 Northfield Rd Ste 301, Cedar City, UT 84721 | 2015-04-09 |
| 1033393806 | Scott Gilbert Newbold | Pediatrics | 1303 N Main St Ste C, Cedar City, UT 84721-9746 | 2007-12-28 |
| 1316063084 | Craig Scott Nielson | Pediatrics | 1333 N Main St, Cedar City, UT 84721-9314 | 2007-03-22 |
| 1730220971 | Ryan Raymond Williams | Pediatrics | 245 E 680 S, Cedar City, UT 84720-3593 | 2007-02-09 |
| 1427115187 | Premier Pediatrics LLC | Pediatrics | 1251 Northfield Rd, Suite 301, Cedar City, UT 84720 | 2007-01-02 |
| 1063440782 | Brian N Burrows | Pediatrics | 1333 N Main St, Cedar City, UT 84720-9113 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448057 | Puzzle Pediatrics LLC | Pediatrics | 230 N Hospital Dr Ste 3, Price, UT 84501-4222 | 2020-08-21 |
| 1619430303 | Hailey N. Baisch | Pediatrics | 81 N Mario Capecchi Dr Rm 1a.001, Salt Lake City, UT 84113-1125 | 2019-04-09 |
| 1184184632 | Abbey Jo Bentley | Pediatrics | 1248 E 90 N Ste 202, American Fork, UT 84003-2959 | 2019-03-21 |
| 1114487717 | Heber Valley Medical LLC | Pediatrics | 380 E 1500 S Ste 201, Heber City, UT 84032-3942 | 2019-03-21 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1811415565 | Community Health Centers, Inc. | Pediatrics | 324 Tenth Ave Ste 249, Salt Lake City, UT 84103-2889 | 2017-09-01 |
| 1124548805 | Joshua Brent Maxwell | Pediatrics | 8822 S Redwood Rd Ste C211, West Jordan, UT 84088-9340 | 2017-06-22 |
| 1083145445 | Landon Robert Hendricks | Pediatrics | 848 N 980 W, Orem, UT 84057-7709 | 2017-03-27 |
| 1902349657 | Kelson Physician Partner's of Layton, Inc. | Pediatrics | 5286 S. 3500 W., Suite A, Roy, UT 84067 | 2016-11-29 |
| 1134672074 | Robert Jarrett | Pediatrics | 12669 S Toscana Way, Herriman, UT 84096-4866 | 2016-07-27 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR CITY |
| Zip Code | 84720 |
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| 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.