Cameron S Jennings, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

103067721205 Issued in UT

Practice address

1490 E Foremaster Dr Ste 200
St George, UT 84790-4496

Phone

(435) 628-1641

Fax

(435) 628-1660

NPI assigned

May 14, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Utah School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utah Surgical Associates IncGroup PAC ID 4486686698, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. George Regional Hospital Hospital, St George, UT, CCN 460021
• Kane County Hospital Hospital, Kanab, UT, CCN 461309

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cameronjennings@143147.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Utah Surgical Associates, Inc.

  • Specialist
  • Provo, UT
  • NPI 1851450720
  Medicare reassignment Care Compare group NPD
• Utah Surgical Associates

  • Surgery Physician
  • St George, UT
  • NPI 1598175523
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  dba Intermountain Health St. George Regional Hospital

  • General Acute Care Hospital
  • St George, UT
  • NPI 1366452880
  Care Compare affiliation
• Kane County Human Resource Special Service District

  dba Kane County Medical Clinic

  • Family Medicine Physician
  • Kanab, UT
  • NPI 1215001037

  Hospital

  Care Compare affiliation
• Kane County Human Resource Special Service District

  dba Kane county Hospital

  • Critical Access Hospital
  • Kanab, UT
  • NPI 1740519370
  Care Compare affiliation

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790044527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904496",
            "telephone_number": "435-628-1641",
            "fax_number": "435-628-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904496",
            "telephone_number": "435-628-1641",
            "fax_number": "435-628-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "CAMERON",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "103067721205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery D Graf OD PC (Graf Medical Eye Care and Vision Center)
• Justin Jeffries
• James Bowie Jeffs, OTR
• Justin Jenkins, D.C.
• Talia Harrison Jenkins
• John M. Jennings, DDS
• Angie May Jensen, APRN
• Ellie Marie Jensen
• Erika Jensen
• Evan Jensen

• Surgery Physician in St George, UT
• Providers in St George, UT by specialty
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.