Edward J Prince, MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

58209071205 Issued in UT

Legal business name

EDWARD J PRINCE, MD PC

Practice address

1490 E Foremaster Dr
#150
St George, UT 84790-4488

Phone

(435) 628-9393

Fax

(435) 628-9382

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Edward J Prince, M.D.

Title

Owner

Phone

(435) 628-9393

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1558546226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR",
            "address_2": "#150",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904488",
            "telephone_number": "435-628-9393",
            "fax_number": "435-628-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR",
            "address_2": "#150",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904488",
            "telephone_number": "435-628-9393",
            "fax_number": "435-628-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J PRINCE, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-628-9393",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "58209071205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529399894002",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Eastham
• Adam Nicholas Eaton
• Dylann Paige Eberhard
• Aimee Ebright
• Ashley Elisa Eckley, FNP-C
• Angela Edwards-Matheson, ASUDC, LCMHC
• Chasity Edwards, SUDC, NCAC II
• Chelsea Edwards
• Christopher Ryan Edwards, D.O.
• Dan Lee Edwards

• Orthopaedic Surgery Physician in St George, UT
• Providers in St George, UT by specialty
• Orthopaedic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.