Organization Active NPI

Cedar Ridge Family Medicine

  • Family Medicine Physician
  • Cedar City, UT
National Provider Identifier
1740260504
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50914131205 Issued in UT
Legal business name
CEDAR RIDGE FAMILY MEDICINE
Practice address
110 West 1325 North
#200
Cedar City, UT 84720
Phone
(435) 586-7676
Fax
(435) 586-2290
NPI assigned
Jan 18, 2006
Last updated
Oct 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CEDAR RIDGE FAMILY MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Steven R Newman, MDNPI 1134157613
Title
Owner
Phone
(435) 586-7676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 50914131205 UT Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

110 West 1325 North
#200
Cedar City, UT 84720

Mailing address

110 West 1325 North
#200
Cedar City, UT 84720
Phone (435) 586-7676

Other practice location 1

445 E 3000 N
Suite 130
Cedar City, UT 84721
Phone (435) 586-7676

Other names 2

  • Gray Family Medicine Former legal business name
  • Cedar Ridge Urgent Care Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL frontdesk@cedarridgefammed.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050128000118 UT Part B Supplier - Clinic/Group Practice 3971553884 Receives reassigned benefits from 18 practitioners
Practice locations: Cedar City, UT

National Provider Directory

National Provider Directory
Part of
Cedar Ridge Family Medicine

Locations

1760 N Main St
Ste 106B
Cedar City, UT 84721
Phone (435) 586-7676

445 E 3000 N
Ste 130
Cedar City, UT 84721
Phone (435) 586-7676

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22054/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1740260504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WEST 1325 NORTH",
            "address_2": "#200",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "84720",
            "telephone_number": "435-586-7676",
            "fax_number": "435-586-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WEST 1325 NORTH",
            "address_2": "#200",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "84720",
            "telephone_number": "435-586-7676",
            "fax_number": "435-586-2290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 E 3000 N",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Cedar City",
            "state": "UT",
            "postal_code": "84721",
            "country_code": "US",
            "telephone_number": "435-586-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CEDAR RIDGE FAMILY MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CEDAR RIDGE FAMILY MEDICINE",
        "enumeration_date": "2006-01-18",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-586-7676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "50914131205",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "frontdesk@cedarridgefammed.com",
            "affiliation": "N",
            "endpointDescription": "Main office email encrypted",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "110 West 1325 North",
            "address_2": "#200",
            "city": "Cedar City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gray Family Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Gray Family Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Cedar Ridge Urgent Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.