NPIMap

Organization Active NPI

Southern Utah Ear Nose & Throat LLC

  • Otolaryngology Physician
  • St George, UT
National Provider Identifier
1679733869
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
SOUTHERN UTAH EAR NOSE & THROAT LLC
Practice address
1490 E Foremaster Dr
Suite 350
St George, UT 84790-4488
Phone
(435) 628-3334
Fax
(435) 628-3375
NPI assigned
Jun 11, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Steve Chase, M.D.
Title
Principal
Phone
(435) 628-3334

Practitioners 19

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

View all 19

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081024000241 UT Part B Supplier - Clinic/Group Practice 4082772777 Receives reassigned benefits from 19 practitioners
Practice locations: St George, UT

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1490 E Foremaster Dr
Suite 350
St George, UT 84790-4488

Mailing address

1490 E Foremaster Dr
Suite 350
St George, UT 84790-4488
Phone (435) 628-3334

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2008.

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1679733869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR",
            "address_2": "SUITE 350",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904488",
            "telephone_number": "435-628-3334",
            "fax_number": "435-628-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR",
            "address_2": "SUITE 350",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904488",
            "telephone_number": "435-628-3334",
            "fax_number": "435-628-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN UTAH EAR NOSE & THROAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "435-628-3334",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "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 11, 2008; 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.