Dixie Anesthesia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

184558-1205 Issued in UT

Legal business name

DIXIE ANESTHESIA LLC

Practice address

1490 E Foremaster Dr
St George, UT 84790-4488

Phone

(435) 652-9127

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Bruce Carter, MDNPI 1225198799

Title

Partner

Phone

(435) 652-9127

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce M Carter, MD

  • Anesthesiology Physician
  • St George, UT
  • NPI 1225198799
  Medicare reassignment Care Compare group NPD Authorized official
• Gaylen Gurr, MD

  • Anesthesiology Physician
  • St George, UT
  • NPI 1275693731
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669510855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911928",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847911928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904488",
            "telephone_number": "435-652-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXIE ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "435-652-9127",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "184558-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Ann M Dietzel
• Angela Marette Dimick
• Taylor Dingman
• Selma Dingmann
• Tara Dippre
• Dixie Chiropractic Center
• Dixie Chiropractic, LLP
• Dixie Dental
• Dixie Dermatology a Professional Corporation
• Dixie Dialysis Center

• Anesthesiology Physician in St George, UT
• Providers in St George, UT by specialty
• Anesthesiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.