Scott Condie, P.A.-C

Key facts

NPI

1891749560

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

282691-1206 (UT)

Practice address

383 S 300 E
St George, UT 84770-3620

Phone

(435) 628-2826

Fax

(435) 628-2839

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 1

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.

• Southwest Skin and Cancer LLC Specialist · St George, UT · NPI 1619929783
  Medicare reassignment Care Compare group NPD UT

Hospital & facility affiliations 1

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

• Ihc Health Services, Inc. General Acute Care Hospital · St George, UT · NPI 1366452880
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Skin and Cancer LLC (8 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. George Regional Hospital Hospital · St George, UT · CCN 460021

Merit-based Incentive Payment System (MIPS)

Final score

69.3 of 100 (group)

Quality

36.72

Improvement activities

40

Cost

82.02

Medicare participation

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 15, 2011.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1891749560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 S 300 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703620",
            "telephone_number": "435-628-2826",
            "fax_number": "435-628-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 S 300 E",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703620",
            "telephone_number": "435-628-2826",
            "fax_number": "435-628-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDIE",
        "first_name": "SCOTT",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "282691-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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