Advanced Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ADVANCED FAMILY MEDICINE, LLC

Practice address

619 S Bluff St
Tower 1 Suite 100
St George, UT 84770-3853

Phone

(435) 656-0234

Fax

(435) 656-2622

NPI assigned

Aug 28, 2015

Last updated

Aug 28, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

ADVANCED FAMILY MEDICINE, LLCAs reported in NPPES

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

Authorized official

Name

Roger A Russell, DC

Title

Clinic Administrator

Phone

(435) 656-0234

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Part of

Advanced Family Medicine LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dana Browning Hardin, M.D.

  • Family Medicine Physician
  • St George, UT
  • NPI 1053381558
  Medicare reassignment

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1639546377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S BLUFF ST",
            "address_2": "TOWER 1 SUITE 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703853",
            "telephone_number": "435-656-0234",
            "fax_number": "435-656-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S BLUFF ST",
            "address_2": "TOWER 1 SUITE 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703853",
            "telephone_number": "435-656-0234",
            "fax_number": "435-656-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY MEDICINE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED FAMILY MEDICINE, LLC",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "435-656-0234",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesica Jamie Adamson
• Marshall Adamson
• Adaptive Home Modification and Design, LLC
• Stephanie Adkins
• Advance Medical Services, Inc (Petersen Medical)
• Advanced Mobile Care
• Advanced Neuro Healing LLC
• Advanced Neuro Wellness LLC (Advanced Neuro Healing)
• Advanced Pain Management, LLC
• Advanced Physical Therapy

• Family Medicine Physician in St George, UT
• Providers in St George, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.