Active NPI
Premier Heart & Vascular
- Vascular & Interventional Radiology Physician
- St George, UT
National Provider Identifier
1457222036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- PREMIER HEART & VASCULAR
- Practice address
- 1841 E Riverside Dr Ste 102
St George, UT 84790-7063 - Phone
- (435) 900-6001
- Fax
- (435) 900-6002
- NPI assigned
- Sep 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald C Fry
- Title
- Owner
- Phone
- (435) 900-6001
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | |||
| Interventional Cardiology Physician | 207RI0011X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary | ||
| Clinical Electrophysiology Physical Therapist | 2251E1300X | |||
| Cardiovascular-Interventional Technology Radiologic Technologist | 2471C1101X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1841 E Riverside Dr Ste 102
St George, UT 84790-7063
Mailing address
2280 E 3860 S
St George, UT 84790-5027
Phone (435) 900-6001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2298291 | Premier Heart and Vascular | Compliance | Feb 19, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- St George, UT
- NPI 1245882596
-
- Vascular & Interventional Radiology Physician
- Salt Lake City, UT
- NPI 1184807208
-
- Family Nurse Practitioner
- St George, UT
- NPI 1619693611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1457222036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 E 3860 S",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847905027",
"telephone_number": "435-900-6001",
"fax_number": "435-900-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1841 E RIVERSIDE DR STE 102",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847907063",
"telephone_number": "435-900-6001",
"fax_number": "435-900-6002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEART & VASCULAR",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-16",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "FRY",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "435-900-6001"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251E1300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471C1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Cardiovascular-Interventional Technology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
- Preece Family Chiropractic (TruHealth - Family Chiropractic & Wellness)
- Braxton Preece
- Jocalyn Preece
- Shane Preece, DC
- Premier Health and Wellness, Inc
- Premier Psychological Counseling and Consulting PC (Premier PCC, PC)
- Paxten Prentice
- Prestige Health Concierge Inc.
- Jennifer A Preston, L.AC
- Ellie Kate Prestwich
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.