DR. CAMERON BISHOP LEAVITT (NPI# 1285085480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285085480 |
| Entity Type | Individual |
| Full Name | DR. CAMERON BISHOP LEAVITT |
| Credential | D.O. |
| Practice Address |
295 S 1470 E # 200 St George UT 84790-1762 |
| Practice Telephone | 4356281662 |
| Practice Fax Number | 4356281722 |
| Mailing Telephone | 4356281662 |
| Mailing Fax Number | 4356281722 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
11775524 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OT017448 | PA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5501 Old York Rd, Philadelphia, PA 191413018 | 2154568261 |
| Street Address |
295 S 1470 E # 200 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568478170 | Valley Obstetrics and Gynecology, PC | Obstetrics & Gynecology | 295 S 1470 E # 200, St George, UT 84790-1762 | 2006-08-01 |
| 1316309305 | Cassandra Weidman | Obstetrics & Gynecology | 295 S 1470 E # 200, St George, UT 84790-1762 | 2016-03-28 |
| 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 | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396790309 | Chad C Lunt | Obstetrics & Gynecology | 515 S 300 E Ste 205, St George, UT 84770-3979 | 2006-05-24 |
| 1629013248 | Robert P. Strebel Jr. | Obstetrics & Gynecology | 544 S 400 E, St George, UT 84770-3705 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659575686 | Douglas A Allen | Obstetrics & Gynecology | 1886 West 800 North, Pleasant Grove, UT 84062-4097 | 2007-06-13 |
| 1245322908 | John Thomas Paas | Obstetrics & Gynecology | 900 Round Valley Dr Ste 200, Park City, UT 84060-7552 | 2006-09-29 |
| 1972145811 | Utah Navajo Health System, Incorpoarted | Obstetrics & Gynecology | 802 S 200 W, Blanding, UT 84511-3910 | 2019-10-11 |
| 1316459035 | Becky J Jackson | Obstetrics & Gynecology | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2017-11-03 |
| 1619123452 | Albert R Hartman Md PC | Obstetrics & Gynecology | 4403 Harrison Blvd, 4625, Ogden, UT 84403-3271 | 2008-08-12 |
| 1619190899 | Mt. Olympus Obstetrics and Gynecology | Obstetrics & Gynecology | 1220 E 3900 S, Suite 3e, Salt Lake City, UT 84124-1327 | 2007-04-10 |
| 1861569261 | Max Jay Crouch | Obstetrics & Gynecology | 97 S. Professional Way, Payson, UT 84651 | 2006-11-29 |
| 1669567376 | Robert Wendall Later | Obstetrics & Gynecology | 9600 S 1300 E, Suite 302, Sandy, UT 84094-3766 | 2006-10-04 |
| 1447228572 | Stephen D Lash | Obstetrics & Gynecology | 1060 E 100 S, Suite 400, Salt Lake City, UT 84102-1501 | 2006-03-14 |
| 1437128519 | Cynthia A. Jones | Obstetrics & Gynecology | 1060 E 100 S, Suite 400, Salt Lake City, UT 84102-1501 | 2006-03-14 |
| Find all providers with the same taxonomy | ||||
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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.