Individual provider Active NPI

Cameron Bishop Leavitt, D.O.

  • Obstetrics Physician
  • St George, UT
National Provider Identifier
1285085480
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
11775524 Issued in UT
Practice address
295 S 1470 E # 200
St George, UT 84790-1762
Phone
(435) 628-1662
Fax
(435) 628-1722
NPI assigned
Jun 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OT017448 PA
Obstetrics Physician 207VX0000X 11775524 UT Primary

Addresses

Primary practice location

295 S 1470 E # 200
St George, UT 84790-1762

Mailing address

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

Other practice location 1

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-8261

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
I20200617003512 UT Practitioner - Obstetrics/Gynecology 0840612917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oklahoma State University College of Osteopathic Medicine, 2020
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 uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11775524UTMDObstetrics Physician
OT017448PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Aug 1, 2020 Accepting new patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology Current Accepting new patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Aug 1, 2020 Accepting new patients
Ihc Health Services Inc Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology Past Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients

Locations

1248 E 90 N
#300
American Fork, UT 84003
Phone (801) 756-9635

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

585 N 500 W
Ste 500
Provo, UT 84601

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

1380 E Medical Center Dr
Ste 1600
St George, UT 84790
Phone (435) 251-4150

1380 E Medical Center Dr
Ste N1600
St George, UT 84790
Phone (435) 688-4770

Organizations & group practices 8

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": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1285085480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 S 1470 E # 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901762",
            "telephone_number": "435-628-1662",
            "fax_number": "435-628-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 S 1470 E # 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901762",
            "telephone_number": "435-628-1662",
            "fax_number": "435-628-1722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413018",
            "country_code": "US",
            "telephone_number": "215-456-8261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "CAMERON",
        "middle_name": "BISHOP",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT017448",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "UT",
            "license": "11775524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.