Phase II St George Inc

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

2751391205 Issued in UT

Legal business name

PHASE II ST GEORGE INC

Practice address

230 N 1680 E
BLDG I
St George, UT 84790-2579

Phone

(435) 627-2978

NPI assigned

Nov 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth S Graul, M.D.

Title

Owner

Phone

(801) 502-9024

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Elizabeth A Graul, M.D.

  • Gynecology Physician
  • Salt Lake City, UT
  • NPI 1417074865
  NPD (past)
• Shelly F Kirk, NP

  • Family Nurse Practitioner
  • Litchfield Park, AZ
  • NPI 1932229259
  NPD (past)

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1912186289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N 1680 E",
            "address_2": "BLDG I",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902579",
            "telephone_number": "435-627-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N 1680 E",
            "address_2": "BLDG I",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902579",
            "telephone_number": "435-627-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE II ST GEORGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "GRAUL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-502-9024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "UT",
            "license": "2751391205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID NUMBER",
            "identifier": "000058012",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenna Pham
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• Pharmboy Ventures Unlimited, Inc
• April Phelps
• Dan Phelps
• Phenix Pelvic Health
• Phi Medical Equipment Inc
• Phillip C Hall, DDS, LC

• Gynecologic Oncology Physician in St George, UT
• Providers in St George, UT by specialty
• Gynecologic Oncology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.