NPIMap

Organization Active NPI

St George Regional Neurology PC

  • Neurology Physician
  • Saint George, UT
National Provider Identifier
1386884435
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
269427-1205 Issued in UT
Legal business name
ST GEORGE REGIONAL NEUROLOGY PC
Practice address
736 S 900 E
202
Saint George, UT 84790-7000
Phone
(435) 688-7800
Fax
(435) 688-7801
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Taj N Becker, MD
Title
President
Phone
(435) 688-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 269427-1205 UT Primary

Addresses

Primary practice location

736 S 900 E
202
Saint George, UT 84790-7000

Mailing address

736 S 900 E
202
Saint George, UT 84790-7000
Phone (435) 688-7800

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": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1386884435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 S 900 E",
            "address_2": "202",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847907000",
            "telephone_number": "435-688-7800",
            "fax_number": "435-688-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 S 900 E",
            "address_2": "202",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847907000",
            "telephone_number": "435-688-7800",
            "fax_number": "435-688-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GEORGE REGIONAL NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "TAJ",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-688-7800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "269427-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.