Individual provider Active NPI

Cassandra Weidman, D.O.

  • Obstetrics & Gynecology Physician
  • St George, UT
National Provider Identifier
1316309305
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
11711095 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
Mar 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 11711095 UT Primary

Addresses

Primary practice location

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

Mailing address

295 S 1470 E Ste 200
St George, UT 84790-1963
Phone (435) 628-1662

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
I20200819002014 UT Practitioner - Obstetrics/Gynecology 9830465798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2016
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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Aug 6, 2020 Accepting new patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology Current Accepting new patients
Valley Obstetrics and Gynecology, P.C. Obstetrics & Gynecology CurrentSince Aug 6, 2020 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

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

Organizations & group practices 5

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1316309305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 S 1470 E STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901963",
            "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": [],
    "basic": {
        "last_name": "WEIDMAN",
        "first_name": "CASSANDRA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "11711095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.