Active NPI
Dagmar Crosby, MD
- Family Medicine Physician
- Saint George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 13107555-1205
- Practice address
- 1036 E Riverside Dr
Saint George, UT 84790-4477 - Phone
- (435) 656-0022
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13107555-1205 | UT | Primary |
Addresses
Primary practice location
1036 E Riverside Dr
Saint George, UT 84790-4477
Mailing address
1036 E Riverside Dr
Saint George, UT 84790-4477
Phone (435) 656-0022
Other names 1
- Dagmar Richtersova, Johnston
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Bertha Howe Ave
Mesquite, NV 89027-7503
Hospital & facility affiliations
- Mesa View Home Care LLC
- Mesa View Regional Hospital
- St. George Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13107555-1205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesquite Clinic Management Company LLC | Current | Accepting new patients | |
| Mesquite Clinic Management Company LLC | Current | Accepting new patients | |
| Alfaro LTD | Past | Accepting new patients | |
| MMC of Nevada LLC | Past | Accepting new patients |
Locations
450 Hillside Dr
Ste 102
Mesquite, NV 89027
1301 Bertha Howe Ave
Ste 1
Mesquite, NV 89027
Phone (702) 346-0200
450 Hillside Dr
Bldg B
Mesquite, NV 89027
Phone (702) 346-4302
450 Hillside Dr
Ste 104
Mesquite, NV 89027
Phone (702) 345-2650
Interoperability endpoints
- dagmar.crosby.1@2184.direct.athenahealth.com
- dagmar.crosby.1@16501.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Mesquite, NV
- NPI 1548800501
-
- Rural Health Clinic/Center
- Logandale, NV
- NPI 1982275236
-
- Surgery Physician
- Mesquite, NV
- NPI 1467787192
-
- Critical Access Hospital
- Mesquite, NV
- NPI 1275588782
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
- Home Health Agency
- Mesquite, NV
- NPI 1811174196
-
- Critical Access Hospital
- Mesquite, NV
- NPI 1275588782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1154303352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 E RIVERSIDE DR",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847904477",
"telephone_number": "435-656-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1036 E RIVERSIDE DR",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847904477",
"telephone_number": "435-656-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSBY",
"first_name": "DAGMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "13107555-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAGMAR",
"last_name": "RICHTERSOVA, JOHNSTON",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 20, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.