Individual provider Active NPI

Cameron J Hunter, PA-C

  • Physician Assistant
  • St George, UT
National Provider Identifier
1619418472
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12023191-1206 Issued in UT
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

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171004000720 NV Practitioner - Physician Assistant 3173898947 Reassigns benefits to 2 organizations
I20210412001665 UT Practitioner - Physician Assistant 3173898947 Reassigns benefits to 2 organizations

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
Southern Utah Surgical and Laser Aesthetics LLCGroup PAC ID 3779638697, 3 clinicians
Corner Clinic St George LLCGroup PAC ID 6406241835, 8 clinicians

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

LicenseStateTypeSpecialty
PA1840NVMDPhysician Assistant
12023191-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Health and Hormones LLC CurrentSince Apr 3, 2022 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.

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

Verify at the official NPI Registry.