Pacific Medical Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PACIFIC MEDICAL ASSOCIATES PC

Practice address

321 N Mall Dr Ste I102
St George, UT 84790-7322

Phone

(435) 628-3651

Fax

(435) 674-7112

NPI assigned

Aug 27, 2014

Organization subpart

No

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

Authorized official

Name

Michael Alan Codiga, MDNPI 1306888219

Title

President

Phone

(435) 628-3651

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 2

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

• Michael A Codiga, MD

  • Internal Medicine Physician
  • St George, UT
  • NPI 1306888219
  Medicare reassignment NPD Authorized official
• Ty Cannon, PA-C

  • Physician Assistant
  • St George, UT
  • NPI 1417432501
  Medicare reassignment

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1912307901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N MALL DR STE I102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907322",
            "telephone_number": "435-628-3651",
            "fax_number": "435-674-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N MALL DR STE I102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907322",
            "telephone_number": "435-628-3651",
            "fax_number": "435-674-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "CODIGA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-628-3651",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Pace, CMHC
• Brian Pace
• David Pace, OD
• Kylee Pace
• Lindsey Nicole Pace, PT
• Callie Paddock
• Justine Padilla
• Bobette R Page, LCSW
• Elenita Luz Paige
• Saisha Painter

• Internal Medicine Physician in St George, UT
• Providers in St George, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.