Individual provider Active NPI

Ryan Ross Lamoreaux, PA

  • Physician Assistant
  • St George, UT
National Provider Identifier
1477101574
Registry record updated Sep 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11431577-1206 Issued in UT
Practice address
1380 E Medical Center Dr Ste 1500
St George, UT 84790-2128
Phone
(435) 251-2500
NPI assigned
Sep 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11431577-1206 UT Primary

Addresses

Primary practice location

1380 E Medical Center Dr Ste 1500
St George, UT 84790-2128

Mailing address

2074 E 40 N
St George, UT 84790-1420
Phone (435) 216-8739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV2 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

Enrollment IDStateProvider typePAC IDDetails
I20191125002548 UT Practitioner - Physician Assistant 6901239326 Reassigns benefits to 1 organization
I20230809003092 NV Practitioner - Physician Assistant 6901239326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

1301 Bertha Howe Ave
Suite 6
Mesquite, NV 89027-7503
Phone (435) 251-2500

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 1500
St George, UT 84790-2128
Phone (435) 251-2500

2650 N Tenaya Way
Suite 201
Las Vegas, NV 89128-1110
Phone (702) 736-7154

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

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11431577-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Physician Assistant CurrentSince Jul 13, 2021 Accepting new patients
Ihc Health Services, Inc. CurrentSince Nov 18, 2019 Accepting new patients
Ihc Health Services, Inc CurrentSince Nov 18, 2019 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

2650 N Tenaya Way
Ste 201
Las Vegas, NV 89128
Phone (702) 736-7154

110 W 1325 N
Ste 100
Cedar City, UT 84721
Phone (435) 251-2500

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

1380 E Medical Center Dr
Ste 1500
St George, UT 84790
Phone (435) 251-2500

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

Organizations & group practices 6

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 3

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": "1567296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567296000000",
    "number": "1477101574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 E 40 N",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901420",
            "telephone_number": "435-216-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E MEDICAL CENTER DR STE 1500",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902128",
            "telephone_number": "435-251-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOREAUX",
        "first_name": "RYAN",
        "middle_name": "ROSS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-01",
        "last_updated": "2019-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "11431577-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.