RED LEDGES DERMATOLOGY PLLC (NPI# 1417467986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417467986 |
Entity Type | Organization |
Organization Name | RED LEDGES DERMATOLOGY PLLC |
Practice Address |
1449 N 1400 W Ste 22 St George UT 84770-5237 |
Practice Telephone | 4357039296 |
Mailing Telephone | 4357039296 |
Enumeration Date | 2017-10-10 |
Last Update Date | 2018-03-08 |
Authorized Official Name | DR. WARREN ALBERT PETERERSON (OWNER) |
Authorized Official Telephone | 4357039296 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 179077-1204 | UT | Allopathic & Osteopathic Physicians |
Street Address |
1449 N 1400 W STE 22 |
City | ST GEORGE |
State | UT |
Zip Code | 84770-5237 |
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 | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598261869 | Tuttle Dermatology PC | Dermatology | 617 E Riverside Dr Ste 103, St George, UT 84790-8049 | 2018-04-04 |
1841435021 | April Larson Md, PC | Dermatology | 169 W 2710 South Cir, Suite 101, St George, UT 84790-7201 | 2008-12-02 |
1356531438 | Marie S Tuttle | Dermatology | 652 S Medical Center Dr Ste 300, St George, UT 84790 | 2007-07-26 |
1174693733 | Bruce Grant Lyman Bishop | Dermatology | 552 N Dixie Dr, St George, UT 84770-5551 | 2006-11-09 |
1508832726 | Dean W Duke | Dermatology | 383 S 300 E, St George, UT 84770 | 2006-02-27 |
1376800532 | Wallace Austin Smith | Dermatology | 383 S 300 E, St George, UT 84770-3620 | 2012-04-12 |
1164690467 | Robin Berger Md PC | Dermatology | 640 E 700 S, Suite 1, St George, UT 84770-4023 | 2008-02-20 |
1285825059 | Ihc Health Services Inc | Dermatology | 652 S Medical Center Dr, Ste 300, St George, UT 84790-7049 | 2007-08-07 |
1093919912 | Benjamin Gill Carter | Dermatology | 1068 E Riverside Dr, St George, UT 84790-4477 | 2007-06-13 |
1811105745 | Greg Robert Jacobsen | Dermatology | 383 S 300 E, St George, UT 84770-3620 | 2007-05-21 |
Find all providers in ST GEORGE |
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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.