Individual provider Active NPI

Todd Mitchell Jarvis, DO

  • Obstetrics & Gynecology Physician
  • St George, UT
National Provider Identifier
1154883213
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13103714-1204 Issued in UT
Practice address
295 S 1470 E Ste 200
St George, UT 84790-1963
Phone
(435) 628-1662
NPI assigned
Apr 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13103714-8904 UT
Obstetrics & Gynecology Physician 207V00000X 13103714-1204 UT Primary

Addresses

Primary practice location

295 S 1470 E Ste 200
St George, UT 84790-1963

Mailing address

295 S 1470 E Ste 200
St George, UT 84790-1963
Phone (435) 628-1662

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230511001496 UT Practitioner - Obstetrics/Gynecology 1759718257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Obstetrics and Gynecology, PCGroup PAC ID 5890862726, 46 clinicians

Practice addresses (Care Compare)

295 S 1470
Suite 200
St George, UT 84790-1762
Phone (435) 628-1662

Hospital & facility affiliations

  • St. George Regional Hospital Hospital, St George, UT, CCN 460021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13103714-1204UTMDObstetrics & Gynecology Physician
13103714-8904UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology Current Accepting new patients
Valley Obstetrics and Gynecology, P.C. Obstetrics & Gynecology CurrentSince Jul 1, 2023 Accepting new patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Jul 1, 2023 Accepting new patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology Past Accepting new patients

Locations

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

295 S 1470 E
Ste 200
St George, UT 84790
Phone (435) 628-1662

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 1

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": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1154883213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 S 1470 E STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901963",
            "telephone_number": "435-628-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 S 1470 E STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901963",
            "telephone_number": "435-628-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "TODD",
        "middle_name": "MITCHELL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "13103714-8904",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "13103714-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.