Simon Colley

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

960 N Dixie Downs Rd
St George, UT 84770-4206

Phone

(435) 628-0612

Fax

(435) 628-8911

NPI assigned

Aug 13, 2007

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2007.

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1497947691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 W 200 N",
            "address_2": "SUITE 300",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704505",
            "telephone_number": "435-634-5600",
            "fax_number": "435-986-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 N DIXIE DOWNS RD",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704206",
            "telephone_number": "435-628-0612",
            "fax_number": "435-628-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLEY",
        "first_name": "SIMON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SWCBH STAFF CODE",
            "identifier": "COLLES",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Melyse Cole
• Linda Cole
• Emmakaite Coleman
• Maxwell Kenneth Coleman
• Heath R Colledge, D.M.D
• Donny Collins
• Edgar E Collins, M.D.
• Anthony Franklyn Colon, M.D.
• Chante Colvin
• Tyler Lee Comer, D.C.

• All providers in St George, UT
• Other Technician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.