BRIAN JORGENSEN (NPI# 1790187904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790187904 |
| Entity Type | Individual |
| Full Name | BRIAN JORGENSEN |
| Practice Address |
1490 E Foremaster Dr Ste 220 St George UT 84790-4498 |
| Mailing Address |
617 E Riverside Dr Ste 301 St George UT 84790-8722 |
| Practice Telephone | 4352167000 |
| Practice Fax Number | 4352167001 |
| Mailing Telephone | 4352167000 |
| Mailing Fax Number | 4352167001 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2019-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730197658 | Brian K Jorgensen | Internal Medicine | 18404 N Tatum Blvd, Suite 205, Phoenix, AZ 85032-1509 | 2006-08-04 |
| Street Address |
1490 E FOREMASTER DR STE 220 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-4498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235762295 | Rebecca Ann Garner | Nurse Practitioner | 1490 E Foremaster Dr Ste 220, St George, UT 84790-4498 | 2020-02-18 |
| 1376839902 | Coral Desert Spine Surgery | Specialist | 1490 E Foremaster Dr Ste 220, St George, UT 84790-4498 | 2011-06-22 |
| 1437383932 | Bart Tiberius Hunter | Nurse Practitioner | 1490 E Foremaster Dr Ste 220, St George, UT 84790-4498 | 2009-05-12 |
| 1477724516 | Gary Don Snook Md PC | Specialist | 1490 E Foremaster Dr Ste 220, St George, UT 84790-4498 | 2008-03-17 |
| 1659405314 | Mark W Udy | Physician Assistant | 1490 E Foremaster Dr Ste 220, St George, UT 84790-4498 | 2007-03-15 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417432501 | Ty Cannon | Physician Assistant | 616 S River Rd Ste 200, St George, UT 84790-2105 | 2018-09-25 |
| 1831630664 | Kevin Michael Oberg | Physician Assistant | 1380 E Medical Center Dr Ste 4500, St George, UT 84790-2173 | 2017-03-13 |
| 1831472679 | Colton Bennett | Physician Assistant | 652 S Medical Center Dr Ste 400, St George, UT 84790-7017 | 2011-09-27 |
| 1861798894 | Elisha Ann Haroldsen | Physician Assistant | 1490 E Foremaster Dr Ste 260, St George, UT 84790-4502 | 2011-02-09 |
| 1457502213 | Michelle Macfarlane | Physician Assistant | 515 S 300 E Ste 206, St George, UT 84770-3979 | 2008-10-09 |
| 1407007412 | Brennon Gary Jones | Physician Assistant | 1173 S 250 W Ste 503, St George, UT 84770-7190 | 2008-10-08 |
| 1992756258 | Helle Brand | Physician Assistant | 577 S River Rd, St George, UT 84790-2097 | 2006-05-12 |
| 1245296383 | Sean J Stucki | Physician Assistant | 1424 E Foremaster Dr # 120, St George, UT 84790-5832 | 2006-04-26 |
| 1215908322 | Jacqueline L Murray | Physician Assistant | 640 E 700 S, #105, St George, UT 84770-4023 | 2006-01-27 |
| 1457330532 | Shauna L Mcbride | Physician Assistant | 168 N 100 E, St George, UT 84770-2893 | 2006-01-17 |
| 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.