Jamie Susanne Vane, DO

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

122939831204 Issued in UT

Practice address

1240 E 100 S Ste 14
St George, UT 84790-3005

Phone

(435) 628-8232

Fax

(435) 674-7994

NPI assigned

Jun 17, 2018

Last updated

Nov 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ihc Health Services, Inc.

  dba Intermountain Health St. George Regional Hospital

  • General Acute Care Hospital
  • St George, UT
  • NPI 1366452880
  NPD (past)
• Jerry D Twiggs MD PC

  dba Dixie Pediatrics

  • Pediatric Adolescent Medicine Physician
  • St George, UT
  • NPI 1578763702
  NPD (past)
• Night Light Pediatrics LLC

  • Pediatric Adolescent Medicine Physician
  • St George, UT
  • NPI 1295855914
  NPD (past)

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

{
    "created_epoch": "1529193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1316431075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E 100 S STE 14",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847903005",
            "telephone_number": "435-628-8232",
            "fax_number": "435-674-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E 100 S STE 14",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847903005",
            "telephone_number": "435-628-8232",
            "fax_number": "435-674-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANE",
        "first_name": "JAMIE",
        "middle_name": "SUSANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-17",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "UT",
            "license": "122939831204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan C Van Woerkom, MD
• Shea Storm Vancleave
• Chelsea A Vandenberg
• Elise Christena Vander Top
• Mary Elise Vanderholm, CMHC
• Jordan Vanhooser
• Chanda D. Vaniman
• Ciera Vanschaik
• Diane Vanwagoner, LPC
• Daniel Lloyd Varela, M.D.

• Pediatric Adolescent Medicine Physician in St George, UT
• Providers in St George, UT by specialty
• Pediatric Adolescent Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.