Individual provider Active NPI

Ronald Mark Firth, MD

  • Family Medicine Physician
  • Logan, UT
National Provider Identifier
1477562767
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
942704071205 Issued in UT
Practice address
1015 E. 100 N.
Logan, UT 84321
Phone
(435) 770-4673
Fax
(435) 755-6548
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2704071205 UT
Family Medicine Physician 207Q00000X 942704071205 UT Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 972704071205 UT

Addresses

Primary practice location

1015 E. 100 N.
Logan, UT 84321

Mailing address

1015 E. 100 N.
Logan, UT 84321
Phone (435) 770-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080717000736 UT Practitioner - Family PracticePractitioner - Hospice/Palliative Care 3870666274 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2704071205UTMDFamily Medicine Physician
942704071205UTMDFamily Medicine Physician
972704071205UTMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Oct 24, 2010 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Lepont Utah Medical Group PastSince Feb 18, 2018 Accepting new patients

Locations

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1477562767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E. 100 N.",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84321",
            "telephone_number": "435-770-4673",
            "fax_number": "435-755-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E. 100 N.",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84321",
            "telephone_number": "435-770-4673",
            "fax_number": "435-755-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRTH",
        "first_name": "RONALD",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "2704071205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "942704071205",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "UT",
            "license": "972704071205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.