Active NPI
Cameron Bishop Leavitt, D.O.
- Obstetrics Physician
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 11775524
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11775524 | UT | MD | Obstetrics Physician |
| OT017448 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Valley Obstetrics and Gynecology, P.C. | Current | Accepting new patients | |
| Valley Obstetrics and Gynecology, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Valley Obstetrics and Gynecology, P.C. | Current | Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Current | 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.
-
- Obstetrics & Gynecology Physician
- American Fork, UT
- NPI 1588863377
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Family Medicine Physician
- Logan, UT
- NPI 1609567338
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Advanced Practice Midwife
- American Fork, UT
- NPI 1780002188
-
- Gynecologic Oncology Physician
- Salt Lake City, UT
- NPI 1962923433
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
- Obstetrics & Gynecology Physician
- St George, UT
- NPI 1568478170
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.