Jerry Marsden MD a Professional Corporation

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

153367-1205 Issued in UT

Legal business name

JERRY MARSDEN MD A PROFESSIONAL CORPORATION

Practice address

1490 E Foremaster Dr
Suite 350
St George, UT 84790-4488

Phone

(435) 628-3334

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Marsden, MD

Title

President

Phone

(435) 628-3334

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1487852075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR",
            "address_2": "SUITE 350",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904488",
            "telephone_number": "435-628-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR",
            "address_2": "SUITE 350",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904488",
            "telephone_number": "435-628-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY MARSDEN MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "MARSDEN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-628-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "153367-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528562878007",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Calvin Jeppson, D.D.S.
• Jamie Jepsen, SSW
• Nicholas Wayne Jepsen, PHARM.D.
• Russell D. Jepson, D.C.
• Jerry D Twiggs MD PC
• Brayanna Jessop
• Tyson Jessop
• Angela Jeung, DO
• George Jeung, D.O.
• Mary I Jewell, MEDICAL ASSISTANT

• Otolaryngology Physician in St George, UT
• Providers in St George, UT by specialty
• Otolaryngology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.