Kody James Nilsson (NPI# 1609226737, PAC ID# 5890052138) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1609226737 |
| PAC ID by PECOS | 5890052138 |
| Professional Enrollment ID | I20190812003025 |
| Full Name | Kody James Nilsson |
| Organization Legal Name | DESERT EDGE MEDICAL |
| Address |
1664 S Dixie Dr Suite D102 St George UT 84770-7329 |
| Phone Number | 4356562995 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2961742051 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 530012 | WYOMING MEDICAL CENTER |
| 460021 | DIXIE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1233 E 2nd St, Casper, WY 82601-2926 | 8008227201 | SOUND PHYSICIANS OF WYOMING, LLC |
| 1664 S Dixie Dr, Suite D102, St George, UT 84770-7329 | 4356562995 | DESERT EDGE MEDICAL |
| Organization Legal Name | DESERT EDGE MEDICAL |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Ruthanne Slack | Nurse Practitioner | Desert Edge Medical | 1664 S Dixie Dr, Suite D102, St George, UT 84770-7329 |
| Ryan T Borrowman | Nurse Practitioner | Desert Edge Medical | 1664 S Dixie Dr, Suite D102, St George, UT 84770-7329 |
| Street Address |
1664 S DIXIE DR SUITE D102 |
| City | ST GEORGE |
| State | UT |
| Zip | 84770-7329 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Ruthanne Slack | Nurse Practitioner | Desert Edge Medical | 1664 S Dixie Dr, Suite D102, St George, UT 84770-7329 |
| Ryan T Borrowman | Nurse Practitioner | Desert Edge Medical | 1664 S Dixie Dr, Suite D102, St George, UT 84770-7329 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert S Mcknight | Chiropractic | 619 S Bluff St, Suite 100, Saint George, UT 84770-1232 | |
| Brett D Christiansen | Emergency Medicine | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Richard A Sorensen | Emergency Medicine | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Nathan L Holman | Emergency Medicine | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Scott J Jolley | Emergency Medicine | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Charles William Tate Iii | Cardiac Electrophysiology | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Jared Colton Cox | Emergency Medicine | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Michael M Woodruff | Emergency Medicine | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Nicholas Henry Laffely | Cardiovascular Disease (cardiology) | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Bradley J Crosby | Emergency Medicine | Ihc Health Services Inc | 1380 E Medical Ctr Dr, Drmc Critical Care Pulm, St George, UT 84770-2122 |
| Find all physicians in zip 84770 | |||
| City | ST GEORGE |
| Zip Code | 84770 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ST GEORGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kody James Nilsson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.