NPIMap

Organization Active NPI

St George Sleep Medicine Center PC

  • Sleep Disorder Diagnostic Clinic/Center
  • St George, UT
National Provider Identifier
1386671196
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
325420 Issued in UT
Legal business name
ST GEORGE SLEEP MEDICINE CENTER PC
Practice address
251 Hilton Dr
# 107
St George, UT 84770-2320
Phone
(435) 634-9630
Fax
(435) 634-9622
NPI assigned
Jun 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Dr. Kirk G Watkins, MDNPI 1326220559
Title
President
Phone
(435) 634-9630

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
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 325420 UT Primary

Addresses

Primary practice location

251 Hilton Dr
# 107
St George, UT 84770-2320

Mailing address

251 Hilton Dr
#107
St George, UT 84770-2320
Phone (435) 634-9630

Other identifiers 1

IdentifierTypeStateIssuer
528066321022MedicaidUT

National Provider Directory

National Provider Directory

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": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1386671196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 HILTON DR",
            "address_2": "#107",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702320",
            "telephone_number": "435-634-9630",
            "fax_number": "435-634-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 HILTON DR",
            "address_2": "# 107",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702320",
            "telephone_number": "435-634-9630",
            "fax_number": "435-634-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GEORGE SLEEP MEDICINE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-634-9630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "UT",
            "license": "325420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528066321022",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 30, 2007; 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.