Organization Active NPI

Utah Provider Group

  • Primary Care Clinic/Center
  • Saint George, UT
National Provider Identifier
1083461917
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
UTAH PROVIDER GROUP
Practice address
1506 S Silicon Way Ste 2B
Saint George, UT 84770-7153
Phone
(888) 920-7526
NPI assigned
Apr 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Nathan Udy
Title
Manager
Phone
(435) 515-0088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1506 S Silicon Way Ste 2B
Saint George, UT 84770-7153

Mailing address

1506 S Silicon Way Ste 2B
Saint George, UT 84770-7153
Phone (888) 920-7526

National Provider Directory

National Provider Directory

Locations

1506 S Silicon Way
Ste 2B
St George, UT 84770
Phone (888) 920-7526

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1083461917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 S SILICON WAY STE 2B",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847707153",
            "telephone_number": "888-920-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 S SILICON WAY STE 2B",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847707153",
            "telephone_number": "888-920-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH PROVIDER GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "UDY",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-515-0088"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.