GUS CURTIS PENDLETON (NPI# 1649361874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649361874 |
| Entity Type | Individual |
| Full Name | GUS CURTIS PENDLETON |
| Credential | M.D. |
| Practice Address |
736 S 900 E Ste 203 St George UT 84790-7003 |
| Mailing Address |
1055 N 500 W Attn: Credentialing Provo UT 84604-3305 |
| Practice Telephone | 4356736131 |
| Practice Fax Number | 4356738557 |
| Mailing Telephone | 8013548225 |
| Mailing Fax Number | 8014180941 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 276570-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
736 S 900 E STE 203 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-7003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609894922 | Jonathan P Hubbard | Family Medicine | 736 S 900 E Ste 203, St George, UT 84790-7003 | 2006-07-17 |
| 1982202446 | Alana Jeanne Bradbury | Nurse Practitioner | 736 S 900 E Ste 203, St George, UT 84790-7003 | 2020-10-15 |
| 1750942637 | Ami Parry | Nurse Practitioner | 736 S 900 E Ste 203, St George, UT 84790-7003 | 2019-06-22 |
| 1235661745 | Gregory Lee Winger | Family Medicine | 736 S 900 E Ste 203, St George, UT 84790-7003 | 2017-04-03 |
| 1396127635 | Bryce Lunt | Family Medicine | 736 S 900 E Ste 203, St George, UT 84790 | 2015-06-23 |
| 1275688228 | C. Kerry Stratford | Family Medicine | 736 S 900 E Ste 203, St George, UT 84790-7003 | 2007-01-23 |
| 1144375155 | Norman H Fawson | Family Medicine | 736 S 900 E Ste 203, St George, UT 84790-7003 | 2007-01-23 |
| 1295829281 | Central Utah Clinic, P.C. | Family Medicine | 736 S 900 E Ste 203, St George, UT 84790-7003 | 2006-10-03 |
| 1346358454 | Thomas S. Bean | Physician Assistant | 736 S 900 E Ste 203, St George, UT 84790-7003 | 2006-08-28 |
| 1306951504 | Howard Lee Chamberlain | Family Medicine | 736 S 900 E Ste 203, St George, UT 84790-7003 | 2006-08-20 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073072815 | Concierge Clinic LLC | Family Medicine | 1224 S River Rd Ste B101, St George, UT 84790-8365 | 2019-03-19 |
| 1801397831 | Jessica Jimerson | Family Medicine | 2986 Sandalwood Cir, St George, UT 84790-6962 | 2018-02-26 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1689075921 | John K Reis Md PC | Family Medicine | 3052 N Snow Canyon Pkwy, Unit 38, St George, UT 84770-6162 | 2014-09-05 |
| 1255624755 | Scott Noorda | Family Medicine | 640 E 700 S Ste 201, St George, UT 84770-5732 | 2011-05-17 |
| 1104092659 | Carl Don Haycock | Family Medicine | 144 W Brigham Rd Ste 19, St George, UT 84790-7406 | 2008-05-05 |
| 1386825404 | Red Cliffs Administrative Services | Family Medicine | 162 E 300 S, St George, UT 84770-3653 | 2007-11-16 |
| 1700964269 | Jerry Salkowe | Family Medicine | 1866 W Whitestone Dr, St George, UT 84790-4997 | 2006-11-01 |
| 1134212954 | Neal Christian Busk | Family Medicine | St George Va Cboc, 230 North 1680 East, Building N, St George, UT 84790 | 2006-10-02 |
| 1700979556 | Merrill Tullis Syphus | Family Medicine | 676 S Bluff St Ste 200, St George, UT 84770-3568 | 2006-10-02 |
| 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.