Richard Dwain Persons, PA-C MPAS

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

8043054-1206 Issued in UT

Practice address

440 N Paiute Dr
Cedar City, UT 84721-6181

Phone

(435) 586-1112

Fax

(435) 867-1514

NPI assigned

Jul 15, 2011

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, UT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richard.persons.1@14860.direct.athenahealth.com

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

• Ma Bo Inc

  dba House Call Doctors

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1740461219
  Medicare reassignment NPD
• Paiute Indian Tribe of Utah

  dba Four Points Health

  • Clinic/Center
  • Cedar City, UT
  • NPI 1700062296

  TX

  Medicare reassignment NPD
• Paiute Indian Tribe of Utah

  • Clinic/Center
  • Richfield, UT
  • NPI 1336316975
  NPD
• Paiute Indian Tribe of Utah

  • Clinic/Center
  • Kanosh, UT
  • NPI 1992972525
  NPD

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1447548128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N PAIUTE DR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847216181",
            "telephone_number": "435-586-1112",
            "fax_number": "435-867-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N PAIUTE DR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847216181",
            "telephone_number": "435-586-1112",
            "fax_number": "435-867-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSONS",
        "first_name": "RICHARD",
        "middle_name": "DWAIN",
        "credential": "PA-C MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "8043054-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Perez
• Kevin Perez
• Amber Renae Perkins
• Bryce Daniel Perkins, DO
• Sarah Persha, MA, CMHC
• James Tyler Petersen, D.C.
• Alex Peterson
• Kyle Peterson, LCMHC
• Terasa Lynn Peterson
• Trevor Justin Peterson, NP-C

• Medical Physician Assistant in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.