St George Surgical Center LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ST GEORGE SURGICAL CENTER LP

Doing business as

St George Surgical Anesthesia Group

Practice address

676 S Bluff St
St George, UT 84770-3596

Phone

(435) 673-8080

Fax

(435) 673-0096

NPI assigned

Sep 7, 2006

Organization subpart

Yes

Parent organization

ST. GEORGE SURGICAL CENTER, L.P.As reported in NPPES

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

Authorized official

Name

Corland Ty Tippets

Title

Administrator

Phone

(435) 673-8080

Specialties & licenses 2

Addresses

Other names 1

• St George Surgical Anesthesia Group Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• St George Surgical Center LP

  • Ambulatory Surgical Clinic/Center
  • St George, UT
  • NPI 1881770592

  O20100129000563

  Same enrollment

Part of

St George Surgical Center L

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Snow Slade, M.D.

  • Ophthalmology Physician
  • St George, UT
  • NPI 1598918666
  NPD

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1356444863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 S BLUFF ST",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703596",
            "telephone_number": "435-673-8080",
            "fax_number": "435-673-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 S BLUFF ST",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703596",
            "telephone_number": "435-673-8080",
            "fax_number": "435-673-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GEORGE SURGICAL CENTER LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. GEORGE SURGICAL CENTER, L.P.",
        "enumeration_date": "2006-09-07",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "TIPPETS",
        "authorized_official_first_name": "CORLAND",
        "authorized_official_middle_name": "TY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "435-673-8080"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "UT",
            "license": "5566449-1205",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St George Surgical Anesthesia Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St George Pure Health and Wellsness Inc
• St George Regional Neurology PC
• St George Senior Living LLC
• St George Skilled Nursing Facility LLC
• St George Sleep Medicine Center PC
• St George Surgical Center LP
• St George Taxi, LLC
• St George Urology LLC
• St George Whiplash, LLC
• Barrett Victor St George, AUD, PHD

• Ambulatory Surgical Clinic/Center in St George, UT
• Providers in St George, UT by specialty
• Ambulatory Surgical Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.