Diabetes and Wound Care Clinic of St George

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DIABETES AND WOUND CARE CLINIC OF ST GEORGE

Practice address

1054 E Riverside Dr Ste 201
St George, UT 84790-4829

Phone

(435) 574-5123

Fax

(435) 634-8894

NPI assigned

Dec 21, 2018

Organization subpart

No

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

Authorized official

Name

Jamie Knight

Title

Partner

Phone

(801) 860-9240

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1962974493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 E RIVERSIDE DR STE 201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904829",
            "telephone_number": "435-574-5123",
            "fax_number": "435-634-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 E RIVERSIDE DR STE 201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904829",
            "telephone_number": "435-574-5123",
            "fax_number": "435-634-8894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Falcon Ridge Pkwy Ste 603",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890278852",
            "country_code": "US",
            "telephone_number": "435-574-5123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIABETES AND WOUND CARE CLINIC OF ST GEORGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "801-860-9240"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3010016",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devin Nelson DMD, PC
• Faith Linnae Deviney, REGISTERED NURSE
• Madison Lyn Devooght
• Leroy O Dewitt III, D.C.
• Sulakshna Dhamija, MD
• Diabetes Treatment Centers of America, LLC
• Diamond DME Ut, LLC
• Scott Diamond, DO
• Eliza Dick
• Paula Dick

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.