Active NPI
St George Endoscopy Center LLC
- Ambulatory Surgical Clinic/Center
- St George, UT
National Provider Identifier
1457325573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 2004-ASF-49065
- Legal business name
- ST GEORGE ENDOSCOPY CENTER LLC
- Doing business as
- St. George Endoscopy Center
- Practice address
- 368 E Riverside Dr Ste B
St George, UT 84790-6898 - Phone
- (435) 674-3109
- Fax
- (435) 674-3505
- NPI assigned
- Feb 15, 2006
- 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
- Mr. Jeffrey Snodgrass
- Title
- President
- Phone
- (615) 665-1283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 2004-ASF-49065 | UT | Primary |
Addresses
Primary practice location
368 E Riverside Dr Ste B
St George, UT 84790-6898
Mailing address
1A Burton Hills Blvd Ste 300
Nashville, TN 37215-6153
Phone (615) 263-4011
Other names 1
- St. George Endoscopy Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040521001376 | UT | Part B Supplier - Ambulatory Surgical Center | 2860483328 | Practice locations: St George, UT |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- St George Endoscopy Center LLC
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 46D1010764 | St George Endoscopy Center | Certificate of waiver | Mar 23, 2027 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the 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.
-
- Gastroenterology Physician
- St George, UT
- NPI 1629081260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758585600000",
"number": "1457325573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1A BURTON HILLS BLVD STE 300",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372156153",
"telephone_number": "615-263-4011",
"fax_number": "615-234-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "368 E RIVERSIDE DR STE B",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847906898",
"telephone_number": "435-674-3109",
"fax_number": "435-674-3505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST GEORGE ENDOSCOPY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-15",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A",
"authorized_official_last_name": "SNODGRASS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-665-1283",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "UT",
"license": "2004-ASF-49065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St. George Endoscopy Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "St. George Endoscopy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 23, 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.