MR. DUSTIN RIDEOUT WATSON (NPI# 1114160934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114160934 |
| Entity Type | Individual |
| Full Name | MR. DUSTIN RIDEOUT WATSON |
| Credential | MD |
| Practice Address |
1380 E Medical Center Drive St George UT 84790-2123 |
| Mailing Address |
Po Box 3570 Salt Lake City UT 84110-3570 |
| Practice Telephone | 4356344000 |
| Practice Fax Number | 7707016675 |
| Mailing Telephone | 8017272056 |
| Mailing Fax Number | 7707016675 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2018-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 9355592-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 47008 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1380 E MEDICAL CENTER DRIVE |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861488900 | Jana M Leany | Nurse Practitioner | 1380 E Medical Center Drive, St George, UT 84790 | 2005-09-23 |
| 1295054500 | Jordan J Ash | Anesthesiology | 1380 E Medical Center Drive, St George, UT 84790-2123 | 2010-05-26 |
| 1366538126 | Mark Alan Mills | Physical Therapist | 1380 E Medical Center Drive, St George, UT 84770 | 2006-10-05 |
| 1275629826 | Jan G Johnston | Physical Therapist | 1380 E Medical Center Drive, St George, UT 84770 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982920575 | Kim Daniel Christensen | Anesthesiology | 1380 S Medical Center Dr, St George, UT 84790 | 2010-04-08 |
| 1043497753 | Mitchell D Reynolds PC | Anesthesiology | 640 E 700 S Ste 10b, St George, UT 84770-4036 | 2008-01-24 |
| 1891054037 | Andrew Donald Dobson | Anesthesiology | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2012-05-09 |
| 1730452814 | Amsurg St George Anesthesia, LLC | Anesthesiology | 368 E Riverside Dr, Suite B, St George, UT 84790-6896 | 2012-02-20 |
| 1548556814 | Rachel Helena Allen | Anesthesiology | 1380 E Medical Center Dr, St George, UT 84790 | 2011-06-24 |
| 1881980399 | Scott Garrett Allen | Anesthesiology | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2011-06-22 |
| 1831490648 | Benjamin W Risenmay | Anesthesiology | 1380 S Medical Center Dr, St George, UT 84790 | 2010-11-10 |
| 1295054500 | Jordan J Ash | Anesthesiology | 1380 E Medical Center Drive, St George, UT 84790-2123 | 2010-05-26 |
| 1114244068 | Burton Derric Maxfield | Anesthesiology | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2010-04-30 |
| 1255656005 | Daniel Cotoi | Anesthesiology | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2010-04-05 |
| Find all providers in ST GEORGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.