Active NPI
Thomas Holland Bigham, D.O.
- Family Medicine Physician
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5333623-1204
- Practice address
- 168 North 100 East
Suite 101
St. George, UT 84770-3197 - Phone
- (435) 986-2565
- Fax
- (435) 986-2565
- NPI assigned
- Mar 9, 2006
- Last updated
- Aug 31, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4097 | AZ | |
| Family Medicine Physician | 207Q00000X | 5333623-1204 | UT | Primary |
Addresses
Primary practice location
168 North 100 East
Suite 101
St. George, UT 84770-3197
Mailing address
168 North 100 East
Suite 101
St. George, UT 84770-3197
Phone (435) 986-2565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689642332 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- University of New England, College of Osteo Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
223 S 200
Enterprise, UT 84725
Phone (435) 878-2281
223 S 200
Enterprise, UT 84725-0370
PO Box
Enterprise, UT 84725-0370
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4097 | AZ | MD | Dentist |
| 5333623-1204 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Medical Services, LLC Dba Peak Medical Services | Current | Accepting new patients | |
| DHHS IHS Phoenix | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Enterprise Valley Medical Clinic, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Past | Accepting new patients | |
| Southwest Utah Community Health Center | Past | Accepting new patients | |
| Enterprise Valley Med Ctr Inc | Past | Accepting new patients |
Locations
616 S River Rd
Ste 200
St George, UT 84790
Phone (435) 628-8944
Interoperability endpoints
- https://api.platform.athenahealth.com/20544/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/BDFCAD
- thomas.bigham.1@16501.direct.athenahealth.com
- thomas.bigham@evmc.eclinicaldirectplus.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Enterprise, UT
- NPI 1659457786
-
dba Peak Medical Services
- Primary Care Clinic/Center
- St George, UT
- NPI 1114289980
-
dba Peach Springs Health Center
- Clinic/Center
- Peach Springs, AZ
- NPI 1265719934
TX
-
dba Family Healthcare
- Federally Qualified Health Center (FQHC)
- Springdale, UT
- NPI 1275314528
-
- Multi-Specialty Clinic/Center
- Show Low, AZ
- NPI 1073740098
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health St. George Regional Hospital
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
dba Peak Hospice
- Community Based Hospice Care Agency
- St George, UT
- NPI 1407268485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251676800000",
"number": "1689642332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 NORTH 100 EAST",
"address_2": "SUITE 101",
"city": "ST. GEORGE",
"state": "UT",
"postal_code": "847703197",
"telephone_number": "435-986-2565",
"fax_number": "435-986-2577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 NORTH 100 EAST",
"address_2": "SUITE 101",
"city": "ST. GEORGE",
"state": "UT",
"postal_code": "847703197",
"telephone_number": "435-986-2565",
"fax_number": "435-986-2565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIGHAM",
"first_name": "THOMAS",
"middle_name": "HOLLAND",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2009-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "4097",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "5333623-1204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689642332",
"state": "UT"
}
],
"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 Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.