Individual provider Active NPI

Allan Clark Gunnerson, D.O.

  • Gastroenterology Physician
  • St George, UT
National Provider Identifier
1407081524
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
9786624-1204 Issued in UT
Practice address
1380 E Medical Center Dr Ste 4100
St George, UT 84790-2156
Phone
(435) 251-3800
NPI assigned
May 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 9786624-1204 UT Primary

Addresses

Primary practice location

1380 E Medical Center Dr Ste 4100
St George, UT 84790-2156

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (435) 251-3800

Other names 1

  • Dr. A Clark Gunnerson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815002559 UT Practitioner - Gastroenterology 8527223312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Nova Southeastern College of Osteo Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1303 N Main St
Cedar City, UT 84721-9746

1380 E Medical Ctr Dr
St George, UT 84790-2123

1380 E Medical Ctr Dr
Suite 1400
St George, UT 84790-2127
Phone (435) 251-2600

1380 E Medical Ctr Dr
Suite 4100
St George, UT 84790-2156
Phone (435) 251-2500

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

Hospital & facility affiliations

  • St. George Regional Hospital Hospital, St George, UT, CCN 460021
  • Intermountain Health Cedar City Hospital Hospital, Cedar City, UT, CCN 460007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy387
Upper gastrointestinal (GI) endoscopy for acid reflux410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9786624-1204UTMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Gastroenterology CurrentSince Jul 1, 2016 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1380 E Medical Center Dr
Ste 4100
St George, UT 84790
Phone (435) 251-2900

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

652 S Medical Center Dr
Ste 330
St George, UT 84790
Phone (435) 251-3800

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1407081524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "435-251-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E MEDICAL CENTER DR STE 4100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902156",
            "telephone_number": "435-251-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNERSON",
        "first_name": "ALLAN",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "UT",
            "license": "9786624-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A",
            "last_name": "GUNNERSON",
            "middle_name": "CLARK",
            "prefix": "DR.",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.