Active NPI
Cameron J Hunter, PA-C
- Physician Assistant
- St George, UT
National Provider Identifier
1619418472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 12023191-1206
- Practice address
- 1068 E Riverside Dr
St George, UT 84790-4477 - Phone
- (435) 628-6466
- Fax
- (435) 628-3845
- NPI assigned
- Mar 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1840 | NV | |
| Physician Assistant | 363A00000X | 12023191-1206 | UT | Primary |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
1068 E Riverside Dr
St George, UT 84790-4477
Mailing address
1068 E Riverside Dr
St George, UT 84790-4477
Phone (435) 628-6466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1068 E Riverside Dr
St George, UT 84790-4477
Phone (435) 628-6466
2351 S River Rd
Suite 5
St George, UT 84790-8749
Phone (435) 709-8786
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1840 | NV | MD | Physician Assistant |
| 12023191-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Health and Hormones LLC | Current | Accepting new patients | |
| Corner Clinic Snow Canyon LLC | Past | Accepting new patients | |
| Enoch Community Healthcare | Physician Assistant | Past | Accepting new patients |
Locations
1068 E Riverside Dr
St George, UT 84790
Phone (435) 628-6466
Organizations & group practices 7
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.
-
- Family Medicine Physician
- St George, UT
- NPI 1629568209
-
- Specialist
- St George, UT
- NPI 1114164365
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1790329407
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1659346005
-
- Gynecology Physician
- St George, UT
- NPI 1639819253
-
- Family Medicine Physician
- St George, UT
- NPI 1952041048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1619418472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1068 E RIVERSIDE DR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847904477",
"telephone_number": "435-628-6466",
"fax_number": "435-628-3845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1068 E RIVERSIDE DR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847904477",
"telephone_number": "435-628-6466",
"fax_number": "435-628-3845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "CAMERON",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-13",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1840",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "12023191-1206",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.