Trevor Dorian Page, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9072036-1204 Issued in UT

Practice address

25 North 100 East
Family Healthcare
Washington, UT 84770

Phone

(435) 879-5126

NPI assigned

May 3, 2011

Last updated

Dec 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Minnesota Medical School, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Utah Community Health CenterGroup PAC ID 5799692398, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. George Regional Hospital Hospital, St George, UT, CCN 460021

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: trevor.page@swuchc.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwest Utah Community Health Center

  dba Family Healthcare

  • Federally Qualified Health Center (FQHC)
  • St George, UT
  • NPI 1659358687

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Southwest Utah Community Health Center

  dba Family Healthcare

  • Federally Qualified Health Center (FQHC)
  • Springdale, UT
  • NPI 1275314528
  NPD
• Southwest Utah Community Health Center

  dba Family Healthcare

  • Federally Qualified Health Center (FQHC)
  • Hurricane, UT
  • NPI 1780090944
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  dba Intermountain Health St. George Regional Hospital

  • General Acute Care Hospital
  • St George, UT
  • NPI 1366452880
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419379200000",
    "number": "1053603597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 E SUNCREST CIR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847802553",
            "telephone_number": "435-590-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NORTH 100 EAST",
            "address_2": "FAMILY HEALTHCARE",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-879-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "TREVOR",
        "middle_name": "DORIAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2014-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "9072036-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oral Health Access LLP
• Rachelle Ottesen, CMHC
• Carrie Lynn Ovard, MS, LCMHC
• Kenzi Owen
• Diego Benito Pacrem
• Abby Peterson
• Phoenix Systems LLC (Phoenix Systems)
• Stephen Pitts, MA
• Desiree L Porter, LPC
• Kristin Porter, PHARM.D.

• Family Medicine Physician in Washington, UT
• Providers in Washington, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.