St George Surgical Center LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ST GEORGE SURGICAL CENTER LP

Practice address

585 E Riverside Dr Ste 101
St George, UT 84790-7134

Phone

(435) 673-8080

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Brent Davis

Title

Administrator

Phone

(435) 986-9369

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• St George Surgical Center LP

  • Ambulatory Surgical Clinic/Center
  • St George, UT
  • NPI 1356444863

  O20100129000563

  Same enrollment

Listed as

St George Surgical Center LPCCN 46C0001008

Medicare certification status

ActiveFrom the Provider of Services file

Listed as

St George Surgical Center LPCCN 46C0001079

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Snow Slade, M.D.

  • Ophthalmology Physician
  • St George, UT
  • NPI 1598918666
  NPD
• Ron Kenneth Lord, M.D.

  • Ophthalmology Physician
  • St. George, UT
  • NPI 1790991107
  NPD (past)
• Jerry Robert Rhodes, MD FACS

  • Specialist
  • St George, UT
  • NPI 1629028741
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1881770592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 S BLUFF ST",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703596",
            "telephone_number": "435-673-8080",
            "fax_number": "435-673-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 E RIVERSIDE DR STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907134",
            "telephone_number": "435-673-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "676 S Bluff St",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847703596",
            "country_code": "US",
            "telephone_number": "435-673-8080",
            "fax_number": "435-673-0096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST GEORGE SURGICAL CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "435-986-9369"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St George Regional Neurology PC
• St George Senior Living LLC
• St George Skilled Nursing Facility LLC
• St George Sleep Medicine Center PC
• St George Surgical Center LP
• St George Taxi, LLC
• St George Urology LLC
• St George Whiplash, LLC
• Barrett Victor St George, AUD, PHD
• St. George Assisted Living LLC

• Ambulatory Surgical Clinic/Center in St George, UT
• Providers in St George, UT by specialty
• Ambulatory Surgical Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.