Individual provider Active NPI

Jerry Salkowe, MD

  • Family Medicine Physician
  • St George, UT
National Provider Identifier
1700964269
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8548604-1205 Issued in UT
Practice address
1866 W Whitestone Dr
St George, UT 84790-4997
Phone
(435) 245-1282
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8548604-1205 UT Primary

Addresses

Primary practice location

1866 W Whitestone Dr
St George, UT 84790-4997

Mailing address

1866 W Whitestone Dr
St George, UT 84790-4997
Phone (435) 245-1282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1700964269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 W WHITESTONE DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904997",
            "telephone_number": "435-245-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 W WHITESTONE DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904997",
            "telephone_number": "435-245-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALKOWE",
        "first_name": "JERRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "8548604-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.