Cedar Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

6496037-1205 Issued in UT

Legal business name

CEDAR DERMATOLOGY PLLC

Practice address

166 W 1325 N
#250
Cedar City, UT 84721-7792

Phone

(435) 586-6440

Fax

(435) 865-1477

NPI assigned

Dec 10, 2008

Last updated

Dec 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rand Lee Colbert, MDNPI 1073692380

Title

Managing Member

Phone

(435) 586-6440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rand Lee Colbert, MD

  • Dermatology Physician
  • Cedar City, UT
  • NPI 1073692380
  Medicare reassignment NPD Authorized official
• Benjamin Edward Adams, D.O.

  • Dermatology Physician
  • Kirksville, MO
  • NPI 1376769943

  UT

  Medicare reassignment Care Compare group NPD
• Matthew Crosby, D.O.

  • Dermatology Physician
  • Sierra Vista, AZ
  • NPI 1760824338

  UT

  Medicare reassignment Care Compare group NPD
• Jason D Christian, P.A.

  • Physician Assistant
  • Cedar City, UT
  • NPI 1235462326
  Medicare reassignment Care Compare group
• Kayla Pendleton

  • Physician Assistant
  • Cedar City, UT
  • NPI 1578311676

  Dermatology

  Medicare reassignment NPD
• Sealtiel Adrian Tinajero, D.O

  • MOHS-Micrographic Surgery Physician
  • Richfield, UT
  • NPI 1932573912

  Dermatology

  Medicare reassignment NPD
• Jesse Dewey, DO

  • Dermatology Physician
  • Richfield, UT
  • NPI 1619554110
  NPD
• Craig Allen Rodriguez, PA-C

  • Physician Assistant
  • Richfield, UT
  • NPI 1275964504

  Dermatology

  NPD
• Chelsea Wood, PAC

  • Medical Physician Assistant
  • St George, UT
  • NPI 1639567118

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1902041668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 W 1325 N",
            "address_2": "#250",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217792",
            "telephone_number": "435-586-6440",
            "fax_number": "435-865-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W 1325 N",
            "address_2": "#250",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217792",
            "telephone_number": "435-586-6440",
            "fax_number": "435-865-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "RAND",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "435-586-6440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "6496037-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar City Institute of Women's Health PC
• Cedar City Nursing Home LLC (Kolob Regional Care & Rehabilitation)
• Cedar City Red Rocks PC (Cedar City Red Rocks)
• Cedar City Urgent Care
• Cedar Counseling
• Cedar Drug and Gift, Inc
• Cedar Drug and Gift, Inc
• Cedar Ophthalmic Associates PLLC
• Cedar Orthopaedic Bone Densitometry
• Cedar Orthopaedic Surgery Center, LLC

• Dermatology Physician in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Dermatology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.