Organization Active NPI

Southern Utah Neuropsychiatry

  • Neurology Physician
  • St. George, UT
National Provider Identifier
1922377043
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
00008215 Issued in UT
Legal business name
SOUTHERN UTAH NEUROPSYCHIATRY
Practice address
577 East Tabernacle
St. George, UT 84770-2944
Phone
(435) 634-0622
Fax
(435) 674-7621
NPI assigned
Dec 19, 2011
Organization subpart
Yes
Parent organization
SOUTHERN UTAH NEUROPSYCHIATRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Dr. David R Kramer, M.D.
Title
President
Phone
(435) 634-0622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 00008215 UT Primary

Addresses

Primary practice location

577 East Tabernacle
St. George, UT 84770-2944

Mailing address

577 East Tabernacle
St. George, UT 84770-2944
Phone (435) 634-0622

National Provider Directory

National Provider Directory
Part of
Southern Utah Neuropsychiatry

Locations

577 E Tabernacle St
St George, UT 84770
Phone (435) 634-0622

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1922377043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 EAST TABERNACLE",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "847702944",
            "telephone_number": "435-634-0622",
            "fax_number": "435-674-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 EAST TABERNACLE",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "847702944",
            "telephone_number": "435-634-0622",
            "fax_number": "435-674-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN UTAH NEUROPSYCHIATRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN UTAH NEUROPSYCHIATRY",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-634-0622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "00008215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.