DR. DAVID T MAGNESEN (NPI# 1699779066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699779066 |
| Entity Type | Individual |
| Full Name | DR. DAVID T MAGNESEN |
| Credential | DPM |
| Practice Address |
676 S Bluff St Ste 205 St George UT 84770-3568 |
| Practice Telephone | 4356285690 |
| Practice Fax Number | 4356285805 |
| Mailing Telephone | 4356285690 |
| Mailing Fax Number | 4356285805 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2007-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 9910 | NV | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 370449-0501 | UT | Podiatric Medicine & Surgery Service Providers |
| Street Address |
676 S BLUFF ST STE 205 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-3568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326435173 | Scott A Graf PC | Chiropractor | 676 S Bluff St, Suite 208, St George, UT 84770-3596 | 2015-04-20 |
| 1265827711 | Dr Marc L Lyman P.C. | Chiropractor | 676 S Bluff St, Suite 208, St George, UT 84770-3596 | 2015-04-01 |
| 1831520881 | Worthen Anesthesia PC | Nurse Anesthetist, Certified Registered | 676 S Bluff St, St George, UT 84770-3596 | 2013-12-02 |
| 1881839835 | Active Life Chiropractic Center, Inc. | Chiropractor | 676 S Bluff St, Suite 200, St George, UT 84770-3596 | 2008-12-04 |
| 1194943951 | Spencer Andersen PC | Chiropractor | 676 S Bluff St, St George, UT 84770-3596 | 2007-04-24 |
| 1932229259 | Shelly F Kirk | Nurse Practitioner | 676 S Bluff St, Ste 207, St George, UT 84770-3596 | 2007-03-30 |
| 1225156680 | Epic Corporation | Nurse Anesthetist, Certified Registered | 676 S Bluff St, St George, UT 84770-3596 | 2007-03-26 |
| 1134247638 | Ivan Dunlap | Nurse Anesthetist, Certified Registered | 676 S Bluff St, St George, UT 84770-3596 | 2007-03-26 |
| 1881770592 | St George Surgical Center Lp | Clinic/Center | 676 S Bluff St, St George, UT 84770-3596 | 2006-10-27 |
| 1356444863 | St George Surgical Center Lp | Anesthesiology | 676 S Bluff St, St George, UT 84770-3596 | 2006-09-07 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184623092 | Jeffrey Lee Stewart | Podiatrist | 1490 E Foremaster Dr, Suite 250, St George, UT 84790-4488 | 2005-07-21 |
| 1306843099 | Stephen Kent Burton | Podiatrist | 754 S Main, Suite 3, St George, UT 84770-5504 | 2005-07-07 |
| 1861499568 | Andrew B Powell | Podiatrist | 754 South Main, Suite 3, St George, UT 84770-5504 | 2005-07-07 |
| 1306368402 | Scrodco Pllc | Podiatrist | 676 S Bluff St Ste 205, St George, UT 84770-3568 | 2017-07-10 |
| 1083896583 | D Alden Yates Dpm PC | Podiatrist | 736 S 900 E, Ste 101, St George, UT 84790-7001 | 2007-11-27 |
| 1548450901 | Coral Desert Foot & Ankle PC | Podiatrist | 1490 E Foremaster Dr, Suite 250, St George, UT 84790-4488 | 2007-07-31 |
| 1528165867 | Don A Yates | Podiatrist | 736 S 900 E, Ste 101, St George, UT 84790-7001 | 2006-09-20 |
| 1336179886 | Leon K Reber | Podiatrist | 754 South Main, Suite 3, St George, UT 84770 | 2006-07-03 |
| 1124058672 | Shirl Curtis Cowley | Podiatrist | 754 South Main, Suite 3, St George, UT 84770 | 2006-07-03 |
| 1134158397 | The Foot & Ankle Institute LLC | Podiatrist | 754 South Main, Ste 3, St George, UT 84770 | 2006-07-01 |
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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.