Organization Active NPI

Cancer and Blood Institute of Southern Utah Inc

  • Hematology & Oncology Physician
  • Saint George, UT
National Provider Identifier
1093850885
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
6079303-1205 Issued in UT
Legal business name
CANCER AND BLOOD INSTITUTE OF SOUTHERN UTAH INC
Practice address
544 S 400 E
Saint George, UT 84770-3705
Phone
(435) 986-9369
Fax
(435) 986-9368
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Don Lynn Davis
Title
President
Phone
(435) 986-9369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 6079303-1205 UT Primary

Addresses

Primary practice location

544 S 400 E
Saint George, UT 84770-3705

Mailing address

544 S 400 E
Saint George, UT 84770-3705
Phone (435) 986-9369

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1093850885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 S 400 E",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847703705",
            "telephone_number": "435-986-9369",
            "fax_number": "435-986-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 S 400 E",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847703705",
            "telephone_number": "435-986-9369",
            "fax_number": "435-986-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER AND BLOOD INSTITUTE OF SOUTHERN UTAH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-986-9369"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "UT",
            "license": "6079303-1205",
            "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 Dec 6, 2007; 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.