NPIMap

Organization Active NPI

Southwest Spine and Pain Care Specialists, LLC

Doing business as Physician Laboratory Services

  • Pain Medicine (Anesthesiology) Physician
  • St George, UT
National Provider Identifier
1144509985
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC
Doing business as
Physician Laboratory Services
Southwest Spine and Pain Center
Vista Joint and Arthritis Center2 more in Other names
Practice address
2891 E Mall Drive, Ste. 101
Saint George, UT 84791
Phone
(435) 656-2424
Fax
(435) 656-2828
NPI assigned
Aug 10, 2011
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Ashley Pfatenhauer
Title
Credentialing & Contracting Manager
Phone
(435) 215-0230

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X NU
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary
Rheumatology Physician 207RR0500X NU
Neurology Physician 2084N0400X NU
Orthopedic Physical Therapist 2251X0800X NU

Addresses

Primary practice location

2891 E Mall Drive, Ste. 101
Saint George, UT 84791

Mailing address

PO Box 912042
Saint George, UT 84791-2042
Phone (435) 656-2424

Other practice location 1

2891 E Mall Drive, Ste 200
St. George, UT 84790-8479
Phone (435) 688-1665

Other names 5

  • Physician Laboratory Services Doing business as
  • Southwest Spine and Pain Center Doing business as
  • Vista Joint and Arthritis Center Doing business as
  • Vista Neurology Specialists Doing business as
  • Vista Sports Spine and Injury Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111117000308 UT Part B Supplier - Clinic/Group Practice 6406020049 Receives reassigned benefits from 43 practitioners
Practice locations: Heber City, UT; Cedar City, UT; Vineyard, UT; Tremonton, UT; St George, UT; Spanish Fork, UT; Saratoga Springs, UT; Saint George, UT…
O20151022000861 UT DME Supplier - Physician - General Practice 6406020049 Practice locations: St George, UT

National Provider Directory

National Provider Directory

Locations

25 N 2000 W
Ste 8
Hurricane, UT 84737
Phone (435) 635-0174

1125 Blackhawk Blvd
Mt Pleasant, UT 84647
Phone (435) 986-7156

1122 Center Dr
Ste D350
Park City, UT 84098
Phone (435) 383-2026

15 S 1000 E
Ste 225
Payson, UT 84651
Phone (801) 465-2511

860 N Main St
Ste A
Richfield, UT 84701
Phone (435) 879-7612

2891 E Mall Dr
Ste 102
St George, UT 84790

2891 E Mall Dr
Ste 200
St George, UT 84790
Phone (435) 688-1665

301 N 200 E
Ste 2A
St George, UT 84770
Phone (435) 628-3651

691 E 400 N
Ste 100
Vineyard, UT 84059
Phone (385) 203-0246

691 E 400 N
Ste 110
Vineyard, UT 84059
Phone (385) 203-0246

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1144509985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912042",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847912042",
            "telephone_number": "435-656-2424",
            "fax_number": "435-656-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 E MALL DRIVE, STE. 101",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "84791",
            "telephone_number": "435-656-2424",
            "fax_number": "435-656-2828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2891 E Mall Drive, Ste 200",
            "address_purpose": "LOCATION",
            "city": "St. George",
            "state": "UT",
            "postal_code": "847908479",
            "country_code": "US",
            "telephone_number": "435-688-1665",
            "fax_number": "435-619-8634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHWEST SPINE AND PAIN CARE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "PFATENHAUER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CREDENTIALING & CONTRACTING MANAGER",
        "authorized_official_telephone_number": "435-215-0230"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physician Laboratory Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physician Laboratory Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Spine and Pain Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vista Joint and Arthritis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vista Neurology Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vista Sports Spine and Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.