NPIMap

Organization Active NPI

Kidney & Hypertension Institute of St. George PLLC

Doing business as Southern Utah Kidney & Hypertension

  • Specialist
  • Tacoma, WA
National Provider Identifier
1255509469
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6787613-1205 Issued in UT
Legal business name
KIDNEY & HYPERTENSION INSTITUTE OF ST. GEORGE PLLC
Doing business as
Southern Utah Kidney & Hypertension
Practice address
1127 Broadway
Suite 202
Tacoma, WA 98402-3519
Phone
(206) 816-6535
Fax
(206) 816-6586
NPI assigned
Feb 11, 2008
Last updated
Feb 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Dr. Carlos Alberto Mercado, M.D.NPI 1366444051
Title
Physician
Phone
(435) 652-1135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 6787613-1205 UT Primary

Addresses

Primary practice location

1127 Broadway
Suite 202
Tacoma, WA 98402-3519

Mailing address

301 N 200 E
Suite 1D
St George, UT 84770-3010
Phone (435) 652-1135

Other names 1

  • Southern Utah Kidney & Hypertension Doing business as

National Provider Directory

National Provider Directory

Locations

624 S 1000 E
Ste 103
St George, UT 84790
Phone (435) 652-1135

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1255509469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 200 E",
            "address_2": "SUITE 1D",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703010",
            "telephone_number": "435-652-1135",
            "fax_number": "435-652-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 BROADWAY",
            "address_2": "SUITE 202",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023519",
            "telephone_number": "206-816-6535",
            "fax_number": "206-816-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY & HYPERTENSION INSTITUTE OF ST. GEORGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "435-652-1135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "6787613-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Utah Kidney & Hypertension",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.