Active NPI
David Lawrence Deaton, PA
- Medical Physician Assistant
- Mt Pleasant, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 8469216-1206
- Practice address
- 1100 S Medical Dr
Mt Pleasant, UT 84647-2222 - Phone
- (435) 462-3471
- NPI assigned
- Jul 17, 2006
- Last updated
- Aug 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA654 | NV | |
| Medical Physician Assistant | 363AM0700X | 8469216-1206 | UT | Primary |
Addresses
Primary practice location
1100 S Medical Dr
Mt Pleasant, UT 84647-2222
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (435) 462-3471
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA654 | NV | MD | Medical Physician Assistant |
| 8469216-1206 | UT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Emergency Medicine Physicians of Clark Umc McCourt PLLC | Past | Accepting new patients |
Locations
525 N Main St
Ephraim, UT 84627
Phone (435) 283-4075
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
159 N Main St
Manti, UT 84642
Phone (435) 835-3344
1100 S Medical Dr
Mt Pleasant, UT 84647
Phone (435) 462-2441
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
Organizations & group practices 5
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.
-
dba Intermountain Health Sanpete Valley Hospital
- Critical Access Hospital
- Mt Pleasant, UT
- NPI 1407964398
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
dba LDS Campus GI
- Gastroenterology Physician
- Salt Lake City, UT
- NPI 1568592590
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1427359447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376870400000",
"number": "1104844224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "435-462-3471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S MEDICAL DR",
"city": "MT PLEASANT",
"state": "UT",
"postal_code": "846472222",
"telephone_number": "435-462-3471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEATON",
"first_name": "DAVID",
"middle_name": "LAWRENCE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2013-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA654",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "UT",
"license": "8469216-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.