NPIMap

Organization Active NPI

Karen Murray Radley M.D.PC

  • Family Medicine Physician
  • St George, UT
National Provider Identifier
1447460811
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Z67908 Issued in UT
Legal business name
KAREN MURRAY RADLEY M.D.PC
Practice address
965 E 700 S Ste 300
St George, UT 84790-4082
Phone
(435) 673-4644
Fax
(855) 222-7622
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
Karen M Radley, MDNPI 1508868563
Title
President
Phone
(435) 673-4644

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Z67908 UT Primary

Addresses

Primary practice location

965 E 700 S Ste 300
St George, UT 84790-4082

Mailing address

965 E 700 S Ste 300
St George, UT 84790-4086
Phone (435) 673-4644

Other identifiers 2

IdentifierTypeStateIssuer
528692692066MedicaidUT
DD8580OtherUTPALMETTO GBA- RAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031104000365 UT Part B Supplier - Clinic/Group Practice 7911819313 Receives reassigned benefits from 4 practitioners
Practice locations: St George, UT

National Provider Directory

National Provider Directory

Locations

965 E 700 S
Ste 300
St George, UT 84790
Phone (435) 673-4644

Practitioners & affiliated clinicians

Practitioners 5

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1447460811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 E 700 S STE 300",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904086",
            "telephone_number": "435-673-4644",
            "fax_number": "855-222-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 E 700 S STE 300",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904082",
            "telephone_number": "435-673-4644",
            "fax_number": "855-222-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN MURRAY RADLEY M.D.PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "RADLEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-673-4644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "Z67908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528692692066",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA- RAILROAD MEDICARE",
            "identifier": "DD8580",
            "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 Jul 5, 2019; 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.