UTAH GASTROENTEROLOGY P C (NPI# 1255405957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255405957 |
| Entity Type | Organization |
| Organization Name | UTAH GASTROENTEROLOGY P C |
| Other Organization Name | FKA MOUNTAIN WEST GASTROENTEROLOGY, P.C. |
| Practice Address |
368 E Riverside Dr Suite A St George UT 84790-6896 |
| Mailing Address |
6360 S 3000 E Suite 220 Salt Lake City UT 84121-6923 |
| Practice Telephone | 4356731149 |
| Practice Fax Number | 4356731182 |
| Mailing Telephone | 8019443144 |
| Mailing Fax Number | 8019443180 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2017-10-30 |
| Authorized Official Name | CHRISTINE MORRIS (CORPORATE ADMINISTRATOR) |
| Authorized Official Telephone | 8019443191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FKA Mountain West Gastroenterology, P.C. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447662523 | Utah Gastroenterology P C | Internal Medicine | 74 E Kimball Lane, Suite 230, Draper, UT 84020-7735 | 2014-05-23 |
| 1871689562 | Utah Gastroenterology P C | Internal Medicine | 1187 E 3900 S, Salt Lake City, UT 84124-1201 | 2006-10-04 |
| 1972510717 | Utah Gastroenterology P C | Internal Medicine | 6360 South 3000 East, Suite 310, Salt Lake City, UT 84121 | 2006-08-02 |
| 1235676149 | Utah Gastroenterology P C | Internal Medicine | 3000 N Triumph Blvd, Suite 340, Lehi, UT 84043-4999 | 2017-01-30 |
| 1821465469 | Utah Gastroenterology P C | Internal Medicine | 13953 S Bangerter Pkwy, Draper, UT 84020 | 2015-08-31 |
| 1235464413 | Utah Gastroenterology P C | Internal Medicine | 12391 S 4000 W, Riverton, UT 84096-7012 | 2009-10-06 |
| 1477627172 | Utah Gastroenterology P C | Internal Medicine | 5770 South 250 East, Suite 445, Murray, UT 84107 | 2006-11-17 |
| 1457393761 | Utah Gastroenterology P C | Internal Medicine | 620 East Medical Drive, Suite 205, Bountiful, UT 84010-5084 | 2006-06-12 |
| Street Address |
368 E RIVERSIDE DR SUITE A |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-6896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548240310 | Roger L Siddoway | Internal Medicine | 368 E Riverside Dr, Suite A, St George, UT 84790-6896 | 2006-01-18 |
| 1164837621 | Dixie Pediatric Dental | Dentist | 368 E Riverside Dr, Building 6, St George, UT 84790-6896 | 2014-06-24 |
| 1083969455 | Steffanie Peterson | Nurse Practitioner | 368 E Riverside Dr, Ste A, St George, UT 84790-6897 | 2012-07-20 |
| 1730452814 | Amsurg St George Anesthesia, LLC | Anesthesiology | 368 E Riverside Dr, Suite B, St George, UT 84790-6896 | 2012-02-20 |
| 1386876761 | Ethan Lowell Snyder | Physician Assistant | 368 E Riverside Dr, Suite A, St George, UT 84790-6896 | 2009-08-18 |
| 1972740249 | Riverside Dental LLC | Clinic/Center | 368 E Riverside Dr, Bldg #2, St George, UT 84790-6896 | 2009-01-08 |
| 1386775153 | Riverside Dental Care PC | Dentist | 368 E Riverside Dr, Bldg 2a, St George, UT 84790 | 2007-03-07 |
| 1477688232 | David R Stevens | Dentist | 368 E Riverside Dr, Bldg 2a, St George, UT 84790 | 2007-02-22 |
| 1104960863 | James Kim Ott | Dentist | 368 E Riverside Dr, Bldg 2a, St George, UT 84790 | 2007-02-16 |
| 1396851028 | Roxie A Brown | Clinical Nurse Specialist | 368 E Riverside Dr, Suite A, St George, UT 84790-6896 | 2006-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992066799 | Brien Rex Miller | Internal Medicine | 368 E Riverside Dr Ste A, St George, UT 84790-6897 | 2012-06-07 |
| 1548240310 | Roger L Siddoway | Internal Medicine | 368 E Riverside Dr, Suite A, St George, UT 84790-6896 | 2006-01-18 |
| 1679865182 | Ihc Health Services Inc | Internal Medicine | 652 S Medical Center Dr, Ste 330, St George, UT 84790-7017 | 2011-05-03 |
| 1952314593 | Lee J Hixson | Internal Medicine | 368 E Riverside Dr, Suite A, St George, UT 84790-6896 | 2006-08-14 |
| 1629081260 | James W Bown | Internal Medicine | 368 E Riverside Dr, Suite A, St George, UT 84790-6896 | 2006-08-14 |
| 1215966296 | Lloyd Edwin Perino | Internal Medicine | 652 S Medical Center Dr, Suite 330, St George, UT 84790-7017 | 2006-07-01 |
| 1255370771 | Christoph T Woerlein | Internal Medicine | 368 E Riverside Dr, St George, UT 84790-6896 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447662523 | Utah Gastroenterology P C | Internal Medicine | 74 E Kimball Lane, Suite 230, Draper, UT 84020-7735 | 2014-05-23 |
| 1881928794 | Tranquil Living Center Group Corp | Internal Medicine | 189 N Highway 89, Ste C-10, N Salt Lake, UT 84054-2432 | 2009-09-24 |
| 1568592590 | Ihc Health Services Inc | Internal Medicine | 374 10th Ave, Suite 100, Salt Lake City, UT 84103-2823 | 2007-03-07 |
| 1306925433 | Robert F Miller | Internal Medicine | 1002 East South Temple, Ste 412, Salt Lake City, UT 84102 | 2006-11-02 |
| 1033209622 | Randall W. Burt | Internal Medicine | Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, UT 84112 | 2006-10-13 |
| 1871689562 | Utah Gastroenterology P C | Internal Medicine | 1187 E 3900 S, Salt Lake City, UT 84124-1201 | 2006-10-04 |
| 1922113380 | Robert Shigeru Kiyomura | Internal Medicine | 2084 Robins Dr, Suite B, Layton, UT 84041-1100 | 2006-08-19 |
| 1760491054 | Vikram Garg | Internal Medicine | 1300 N 500 E Ste 340, Logan, UT 84341-2470 | 2006-08-05 |
| 1972510717 | Utah Gastroenterology P C | Internal Medicine | 6360 South 3000 East, Suite 310, Salt Lake City, UT 84121 | 2006-08-02 |
| 1518985696 | Kenneth N Buchi | Internal Medicine | 3584 W 9000 S Ste 300, West Jordan, UT 84088-5711 | 2006-07-17 |
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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.