Individual provider Active NPI

Dagmar Crosby, MD

  • Family Medicine Physician
  • Saint George, UT
National Provider Identifier
1154303352
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13107555-1205 Issued in UT
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

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922002419 NV Practitioner - Family Practice 4981619400 Reassigns benefits to 1 organization

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13107555-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mesquite Clinic Management Company LLC CurrentSince Sep 11, 2023 Accepting new patients
Mesquite Clinic Management Company LLC CurrentSince Sep 11, 2023 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

  • Direct secure messaging: dagmar.crosby.1@2184.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.