Organization Active NPI

Worthen Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • St George, UT
National Provider Identifier
1831520881
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
361659-4406 Issued in UT
Legal business name
WORTHEN ANESTHESIA PC
Practice address
676 S Bluff St
St George, UT 84770-3596
Phone
(435) 673-8080
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Mr. Russell G. Worthen, CRNA
Title
Owner
Phone
(435) 753-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 361659-4406 UT Primary

Addresses

Primary practice location

676 S Bluff St
St George, UT 84770-3596

Mailing address

274 N Main St
Logan, UT 84321-3915
Phone (435) 753-1600

National Provider Directory

National Provider Directory

Locations

676 S Bluff St
#C
St George, UT 84770
Phone (435) 673-8080

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1831520881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 N MAIN ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213915",
            "telephone_number": "435-753-1600",
            "fax_number": "435-753-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 S BLUFF ST",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703596",
            "telephone_number": "435-673-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTHEN ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "WORTHEN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-753-1600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "361659-4406",
            "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 Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.