DR. RICK NORDGREN (NPI# 1629364054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629364054 |
| Entity Type | Individual |
| Full Name | DR. RICK NORDGREN |
| Credential | M.D. |
| Practice Address |
1791 E 280 N St George UT 84790-2400 |
| Mailing Address |
1791 E 280 N Saint George UT 84790-2400 |
| Practice Telephone | 4356562020 |
| Mailing Telephone | 4356562020 |
| Mailing Fax Number | 4356342646 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 11363238-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 01075209B | IN | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
19279 | NV | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
11363238-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201285680 | 05 | |
| UT | MEDICARE | U000104096 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 Bertha Howe Ave Ste 11, Mesquite, NV 890277503 | 7023469175 | |
| 110 W 1325 N Ste 175, Cedar City, UT 847218178 | 4358655979 | |
| 11188 Diebold Rd, Fort Wayne, IN 468459662 | 2604839500 | 2604839511 |
| 1791 E 280 N, St George, UT 847902400 | 4356562020 |
| Street Address |
1791 E 280 N |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599225 | Jeffry Reed Ricks | Optometrist | 1791 E 280 N, St George, UT 84790-2400 | 2005-06-21 |
| 1821467895 | Derek Denney | Ophthalmology | 1791 E 280 N, St George, UT 84790-2400 | 2015-09-21 |
| 1326424391 | Vaughn Jones Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1791 E 280 N, St George, UT 84790-2400 | 2015-07-31 |
| 1235440470 | Joshua Schliesser | Ophthalmology | 1791 E 280 N, St George, UT 84790-2400 | 2010-06-22 |
| 1992944896 | Vaughn Paul Jones | Nurse Anesthetist, Certified Registered | 1791 E 280 N, St George, UT 84790-2400 | 2009-02-17 |
| 1245488774 | Nancy L Knape, P.C. | Clinic/Center | 1791 E 280 N, St George, UT 84790-2400 | 2008-09-09 |
| 1669410098 | R Jeffrey Parker Md A Professional Corporation | Ophthalmology | 1791 E 280 N, St George, UT 84790 | 2006-06-04 |
| 1831182799 | Zion Eye Institute, Inc | Clinic/Center | 1791 E 280 N, St George, UT 84790-2463 | 2005-08-25 |
| 1649276957 | Jason A Ahee Md PC | Optometrist | 1791 E 280 N, St George, UT 84790-2400 | 2005-06-22 |
| 1548266992 | Jason William Hauck | Optometrist | 1791 E 280 N, St George, UT 84790-2400 | 2005-06-21 |
| Find all providers in the same location | ||||
| 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 | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891098679 | Ihc Health Services Inc | Ophthalmology | 544 S 400 E, St George, UT 84770-3705 | 2010-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578595153 | Mitchell J Goff | Ophthalmology | 4400 S 700 E Ste 200, Salt Lake City, UT 84107-3053 | 2006-07-06 |
| 1285695940 | Peter Richard Hurlbut-miller | Ophthalmology | 4400 South 700 East, Ste 200, Salt Lake City, UT 84107 | 2006-03-31 |
| 1710980354 | Rocky Mountain Retina Consultants | Ophthalmology | 4400 S 700 E, Ste 200, Salt Lake City, UT 84107-3000 | 2005-05-27 |
| 1811990450 | David Wayne Faber | Ophthalmology | 4400 S 700 E, Ste 200, Salt Lake City, UT 84107-3000 | 2005-05-27 |
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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.