Individual provider Active NPI

Scott Noorda, D.O.

  • Family Medicine Physician
  • St George, UT
National Provider Identifier
1255624755
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9705544-1204 Issued in UT
Practice address
640 E 700 S Ste 201
St George, UT 84770-5732
Phone
(435) 627-3500
NPI assigned
May 17, 2011
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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 9705544-1204 UT Primary

Addresses

Primary practice location

640 E 700 S Ste 201
St George, UT 84770-5732

Mailing address

640 E 700 S Ste 201
St George, UT 84770-5732
Phone (435) 627-3500

Other practice location 1

368 E Riverside Dr Ste 8
St George, UT 84790-5790
Phone (435) 688-2292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 30, 2016 through Aug 30, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9705544-1204UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Noorda DO PLLC Family Medicine PastSince Apr 17, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1255624755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E 700 S STE 201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705732",
            "telephone_number": "435-627-3500",
            "fax_number": "435-359-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E 700 S STE 201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705732",
            "telephone_number": "435-627-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "368 E Riverside Dr Ste 8",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847905790",
            "country_code": "US",
            "telephone_number": "435-688-2292",
            "fax_number": "435-688-2675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOORDA",
        "first_name": "SCOTT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "9705544-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.