NPIMap

Organization Active NPI

Utah Neurosurgery PC

  • Neurological Surgery Physician
  • Saint George, UT
National Provider Identifier
1306236690
Registry record updated Jan 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
294901-1205 Issued in UT
Legal business name
UTAH NEUROSURGERY PC
Practice address
1490 E Foremaster Dr
Ste 260
Saint George, UT 84790-4488
Phone
(435) 688-7131
Fax
(435) 304-1055
NPI assigned
Jan 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2015

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

Authorized official

Name
Brock Rasmussen, MBA
Title
Coo
Phone
(435) 688-7131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 294901-1205 UT Primary

Addresses

Primary practice location

1490 E Foremaster Dr
Ste 260
Saint George, UT 84790-4488

Mailing address

1490 E Foremaster Dr
Ste 260
Saint George, UT 84790-4488
Phone (435) 688-7131

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422662400000",
    "number": "1306236690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR",
            "address_2": "STE 260",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847904488",
            "telephone_number": "435-688-7131",
            "fax_number": "435-304-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR",
            "address_2": "STE 260",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847904488",
            "telephone_number": "435-688-7131",
            "fax_number": "435-304-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH NEUROSURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-31",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "BROCK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "435-688-7131",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "UT",
            "license": "294901-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; 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.