Organization Active NPI

Heart of Dixie PC

  • Cardiovascular Disease Physician
  • St George, UT
National Provider Identifier
1679691398
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1846891205 Issued in UT
Legal business name
HEART OF DIXIE PC
Practice address
1380 E Medical Center Dr
Ste # 4100
St George, UT 84790-2156
Phone
(435) 251-2900
Fax
(435) 251-2901
NPI assigned
Mar 27, 2007
Last updated
Jun 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Dr. David C Boorman Sr., MDNPI 1659344471
Title
Vice President
Phone
(435) 251-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 1846891205 UT Primary

Addresses

Primary practice location

1380 E Medical Center Dr
Ste # 4100
St George, UT 84790-2156

Mailing address

1380 E Medical Center Dr
Ste # 4100
St George, UT 84790-2156
Phone (435) 251-2900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1679691398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 E MEDICAL CENTER DR",
            "address_2": "STE # 4100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902156",
            "telephone_number": "435-251-2900",
            "fax_number": "435-251-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E MEDICAL CENTER DR",
            "address_2": "STE # 4100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902156",
            "telephone_number": "435-251-2900",
            "fax_number": "435-251-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF DIXIE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "BOORMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "435-251-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "1846891205",
            "primary": true
        }
    ],
    "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 Jun 25, 2010; 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.