ADVANCED FAMILY MEDICINE, LLC (NPI# 1639546377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639546377 |
| Entity Type | Organization |
| Organization Name | ADVANCED FAMILY MEDICINE, LLC |
| Practice Address |
619 S Bluff St Tower 1 Suite 100 St George UT 84770-3853 |
| Practice Telephone | 4356560234 |
| Practice Fax Number | 4356562622 |
| Mailing Telephone | 4356560234 |
| Mailing Fax Number | 4356562622 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |
| Authorized Official Name | ROGER A RUSSELL (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 4356560234 |
| Authorized Official Credential | DC |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVANCED FAMILY MEDICINE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205290749 | Advanced Family Medicine, LLC | Nurse Practitioner | 777 S New Ballas Rd, Ste 100e, Saint Louis, MO 63141-8705 | 2016-04-11 |
| Street Address |
619 S BLUFF ST TOWER 1 SUITE 100 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508876533 | Robert Sean Mcknight | Chiropractor | 619 S Bluff St, Tower 1, Suite 400, St George, UT 84770-3853 | 2006-08-09 |
| 1477004257 | Elliot Robert Spaulding | Counselor | 619 S Bluff St, Tower 1 Ste 301, St George, UT 84770-3853 | 2016-10-17 |
| 1447526538 | Stephen M Hansen Md PC | Orthopaedic Surgery | 619 S Bluff St, Tower 1 Suite 100, St George, UT 84770-3853 | 2012-03-22 |
| 1699071704 | David Kiyoshi Miyasaki | Chiropractor | 619 S Bluff St, Tower 1, Suite 400, St George, UT 84770-3853 | 2011-02-07 |
| 1528368610 | Advantage Spine Care Center LLC | Clinic/Center | 619 S Bluff St, Suite 401, St George, UT 84770-3853 | 2010-10-24 |
| 1205072923 | Stephen M Hansen Md PC | Specialist | 619 S Bluff St, Tower 1 Suite 100, St George, UT 84770-3853 | 2008-12-30 |
| 1336325257 | Advanced Spine & Rehabilitation | Chiropractor | 619 S Bluff St, Tower 1 Ste 400, St George, UT 84770-3853 | 2008-01-10 |
| 1417138017 | Chiropractic Center of Southern Utah, Inc | Chiropractor | 619 S Bluff St, Tower 1 Suite 400, St George, UT 84770-3853 | 2007-11-25 |
| 1568569721 | Reed Thomas Gibb | Optometrist | 619 S Bluff St, Tower 1 Suite 1b, St George, UT 84770-3853 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073072815 | Concierge Clinic LLC | Family Medicine | 1224 S River Rd Ste B101, St George, UT 84790-8365 | 2019-03-19 |
| 1801397831 | Jessica Jimerson | Family Medicine | 2986 Sandalwood Cir, St George, UT 84790-6962 | 2018-02-26 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1689075921 | John K Reis Md PC | Family Medicine | 3052 N Snow Canyon Pkwy, Unit 38, St George, UT 84770-6162 | 2014-09-05 |
| 1255624755 | Scott Noorda | Family Medicine | 640 E 700 S Ste 201, St George, UT 84770-5732 | 2011-05-17 |
| 1104092659 | Carl Don Haycock | Family Medicine | 144 W Brigham Rd Ste 19, St George, UT 84790-7406 | 2008-05-05 |
| 1386825404 | Red Cliffs Administrative Services | Family Medicine | 162 E 300 S, St George, UT 84770-3653 | 2007-11-16 |
| 1700964269 | Jerry Salkowe | Family Medicine | 1866 W Whitestone Dr, St George, UT 84790-4997 | 2006-11-01 |
| 1134212954 | Neal Christian Busk | Family Medicine | St George Va Cboc, 230 North 1680 East, Building N, St George, UT 84790 | 2006-10-02 |
| 1700979556 | Merrill Tullis Syphus | Family Medicine | 676 S Bluff St Ste 200, St George, UT 84770-3568 | 2006-10-02 |
| 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.