Organization Active NPI

Southwestern Obstetrics & Gynecology P C

  • Obstetrics & Gynecology Physician
  • Payson, UT
National Provider Identifier
1336285782
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
177851-1205 Issued in UT
Legal business name
SOUTHWESTERN OBSTETRICS & GYNECOLOGY P C
Practice address
39 Professional Way
#3
Payson, UT 84651-1675
Phone
(801) 465-9263
Fax
(801) 465-1669
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Dr. Steven J Dewey, MDNPI 1356358147
Title
Owner
Phone
(801) 465-9263

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 177851-1205 UT Primary

Addresses

Primary practice location

39 Professional Way
#3
Payson, UT 84651-1675

Mailing address

39 Professional Way
#3
Payson, UT 84651-1675
Phone (801) 465-9263

Other identifiers 1

IdentifierTypeStateIssuer
528887176001MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050216000930 UT Part B Supplier - Clinic/Group Practice 0547212615 Receives reassigned benefits from 1 practitioner
Practice locations: Payson, UT; Provo, UT

National Provider Directory

National Provider Directory

Locations

39 Professional Way
Ste 3
Payson, UT 84651
Phone (801) 465-9263

Practitioners & affiliated clinicians

Practitioners 1

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1336285782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 PROFESSIONAL WAY",
            "address_2": "#3",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511675",
            "telephone_number": "801-465-9263",
            "fax_number": "801-465-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 PROFESSIONAL WAY",
            "address_2": "#3",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511675",
            "telephone_number": "801-465-9263",
            "fax_number": "801-465-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN OBSTETRICS & GYNECOLOGY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "DEWEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-465-9263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "177851-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528887176001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.