Organization Active NPI

Lynn R Nimer, MD, a Professional Corporation

  • Cardiovascular Disease Physician
  • St. George, UT
National Provider Identifier
1134470347
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1787801205 Issued in UT
Legal business name
LYNN R NIMER, MD, A PROFESSIONAL CORPORATION
Practice address
1380 East Medical Center Ste 3500
St. George, UT 84790-2123
Phone
(435) 251-2150
Fax
(435) 251-2151
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
Jean Jones
Title
Office Manager
Phone
(435) 251-2150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 1787801205 UT Primary

Addresses

Primary practice location

1380 East Medical Center Ste 3500
St. George, UT 84790-2123

Mailing address

1380 E Medical Center Dr Ste 3500
St George, UT 84790-2138
Phone (435) 251-2150

Other identifiers 1

IdentifierTypeStateIssuer
000011708OtherMEDICARE

National Provider Directory

National Provider Directory

Locations

1380 E Medical Center Dr
Ste 3500
St George, UT 84790
Phone (435) 251-2150

1380 E Medical Center Dr
#3500
St George, UT 84790
Phone (435) 251-2150

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1134470347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 E MEDICAL CENTER DR STE 3500",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902138",
            "telephone_number": "435-251-2150",
            "fax_number": "435-251-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 EAST MEDICAL CENTER STE 3500",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "847902123",
            "telephone_number": "435-251-2150",
            "fax_number": "435-251-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN R NIMER, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-251-2150"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "1787801205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "000011708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.