Active NPI
St George Heart and Vascular
- Vascular Surgery Physician
- St George, UT
National Provider Identifier
1831815984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- ST GEORGE HEART AND VASCULAR
- Practice address
- 1841 E Riverside Dr Ste 102
St George, UT 84790-7063 - Phone
- (406) 690-2008
- NPI assigned
- Oct 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Scott Needham, MD
- Title
- Owner
- Phone
- (406) 690-2008
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
1841 E Riverside Dr Ste 102
St George, UT 84790-7063
Mailing address
1841 E Riverside Dr Ste 102
St George, UT 84790-7063
Phone (435) 900-6001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, NV
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1841 E Riverside Dr
St George, UT 84790
Phone (435) 212-4509
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- St George, UT
- NPI 1063435899
NV
-
- Family Nurse Practitioner
- Saint George, UT
- NPI 1619693611
-
- Vascular & Interventional Radiology Physician
- Grass Valley, CA
- NPI 1518917582
NV, UT
-
- Adult Health Nurse Practitioner
- St George, UT
- NPI 1205688421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678060800000",
"number": "1831815984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1841 E RIVERSIDE DR STE 102",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847907063",
"telephone_number": "435-900-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1841 E RIVERSIDE DR STE 102",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847907063",
"telephone_number": "406-690-2008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST GEORGE HEART AND VASCULAR",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-19",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A",
"authorized_official_last_name": "NEEDHAM",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-690-2008",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"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 Mar 6, 2023; 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.