Active NPI
Scrodco PLLC
- Podiatrist
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- SCRODCO PLLC
- Doing business as
- Southwest Foot & Ankle
- Practice address
- 676 S Bluff St Ste 205
St George, UT 84770-3568 - Phone
- (435) 628-5690
- Fax
- (435) 628-5805
- NPI assigned
- Jul 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Magnesen, DPM
- Title
- Proprietor
- Phone
- (435) 628-5690
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
676 S Bluff St Ste 205
St George, UT 84770-3568
Mailing address
676 S Bluff St Ste 205
St George, UT 84770-3568
Phone (435) 628-5690
Other names 1
- Southwest Foot & Ankle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, NV
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930017214 | UT | DME Supplier - Physician - Podiatry | 9436270576 |
1 other NPI on this enrollment Practice locations: St George, UT |
| O20170919003266 | UT | Part B Supplier - Clinic/Group Practice | 9436270576 |
Receives reassigned benefits from 2 practitioners Practice locations: St George, UT |
| O20190718003144 | NV | Part B Supplier - Clinic/Group Practice | 9436270576 |
Receives reassigned benefits from 1 practitioner Practice locations: Caliente, NV |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Southwest Foot & Ankle | Negative Pressure Wound Therapy Pumps/Supplies|Canes and/or Crutches|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Surgical Dressings|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1745 E 280 N
St George, UT 84790
Phone (435) 628-5701
676 S Bluff St
Ste 205
St George, UT 84770
Phone (435) 628-5690
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727395200000",
"number": "1306368402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 S BLUFF ST STE 205",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847703568",
"telephone_number": "435-628-5690",
"fax_number": "435-628-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 S BLUFF ST STE 205",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847703568",
"telephone_number": "435-628-5690",
"fax_number": "435-628-5805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCRODCO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-10",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A",
"authorized_official_last_name": "MAGNESEN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PROPRIETOR",
"authorized_official_telephone_number": "435-628-5690",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southwest Foot & Ankle",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.