IHC HEALTH SERVICES INC (NPI# 1649413303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649413303 |
| Entity Type | Organization |
| Organization Name | IHC HEALTH SERVICES INC |
| Other Organization Name | SOUTHERN UTAH NEUROSCIENCES INSTITUTE |
| Practice Address |
652 S Medical Center Dr Suite 420 St George UT 84790-7049 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 4352513700 |
| Mailing Telephone | 4352512665 |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2012-08-21 |
| Authorized Official Name | DR. LINDA C LECKMAN (CEO INTERMOUNTAIN MEDICAL GROUP) |
| Authorized Official Telephone | 8014423974 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 2372009 | UT | Allopathic & Osteopathic Physicians |
| Y | 207T00000X | Neurological Surgery | 2372009 | UT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southern Utah Neurosciences Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942828520 | Ihc Health Services Inc | Psychologist | 5373 S Green St Ste 400, Murray, UT 84123-4740 | 2020-07-09 |
| 1194343095 | Ihc Health Services Inc | Internal Medicine | 5217 S State St Ste 250, Murray, UT 84107-4943 | 2020-07-08 |
| 1639797509 | Ihc Health Services Inc | Internal Medicine | 4387 Harrison Blvd Ste C1, Ogden, UT 84403-3148 | 2020-07-08 |
| 1124661384 | Ihc Health Services Inc | General Acute Care Hospital | 765 E Marketplace Dr, Spanish Fork, UT 84660 | 2019-10-21 |
| 1881166361 | Ihc Health Services Inc | Clinic/Center | 201 W Layton Pkwy Ste 1a, Layton, UT 84041-3692 | 2018-12-21 |
| 1235626698 | Ihc Health Services Inc | Clinic/Center | 1485 S Highway 40 Ste G, Heber City, UT 84032-3522 | 2018-04-20 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1770099251 | Ihc Health Services Inc | Dermatology | 395 W Bulldog Blvd Ste 604, Provo, UT 84604-3331 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| Street Address |
652 S MEDICAL CENTER DR SUITE 420 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-7049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916915 | Brookanne J Mickelson | Nurse Practitioner | 652 S Medical Center Dr, Ste 110, St George, UT 84790-7049 | 2005-07-21 |
| 1316561848 | Jacob Daniel Earl | Occupational Therapist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2020-06-01 |
| 1013562875 | Alexa Atkin | Speech-Language Pathologist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-08-07 |
| 1265090039 | Kelli D Reese | Speech-Language Pathologist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-06-05 |
| 1932666781 | Health Services Inc | Preventive Medicine | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-02-28 |
| 1134683774 | Michelle Lynn Schierl | Occupational Therapist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-01-28 |
| 1871067090 | Danielle Marie Smith | Hospitalist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-01-22 |
| 1942733126 | David Scott Foisy | Nurse Practitioner | 652 S Medical Center Dr, St George, UT 84790-7049 | 2017-04-05 |
| 1588119622 | Kashae Anderson | Physician Assistant | 652 S Medical Center Dr, Ste 420, St George, UT 84790-7049 | 2016-08-18 |
| 1265887343 | Michelle Hudson | Specialist/Technologist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2016-04-26 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679728133 | Jotham Charles Manwaring | Neurological Surgery | 652 S Medical Center Dr Ste 420, St George, UT 84790-7049 | 2008-11-25 |
| 1891969713 | Berkeley Graham Bate | Neurological Surgery | 652 S Medical Center Dr Ste 420, St George, UT 84790-7049 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073975660 | Robert Kim | Neurological Surgery | 175 N Medical Drive East 5th Floor, Salt Lake City, UT 84132-0001 | 2016-03-23 |
| 1912341009 | Andrea Brock | Neurological Surgery | 3000 N Triumph Blvd Ste 330, Lehi, UT 84043-4999 | 2013-04-19 |
| 1689819146 | James Leo Mcgauley | Neurological Surgery | 8884 Alpen Way, Salt Lake City, UT 84121-6159 | 2008-12-11 |
| 1861645087 | Sarah Tamara Menacho | Neurological Surgery | 175 North Medical Drive East, 5th Floor, University of Utah Department of Neurosurgery, Salt Lake City, UT 84132-0001 | 2008-10-31 |
| 1902074115 | Dr Evan G Black LLC | Neurological Surgery | 5323 Woodrow St # 120w, Suite 201, Murray, UT 84107-5841 | 2008-02-11 |
| 1437331592 | Dr Diana D Banks, LLC | Neurological Surgery | 5323 South 120 West, Suite 201, Salt Lake City, UT 84107 | 2007-11-30 |
| 1316165947 | Utah Neurological Clinic, Inc. | Neurological Surgery | 1055 N. 300 W. Ste 400, Provo, UT 84604 | 2007-04-20 |
| 1730249582 | James C Pingree | Neurological Surgery | 1220 E 3900 S Ste 4e, Salt Lake City, UT 84124-1343 | 2006-12-11 |
| 1235219130 | Richard H. Schmidt | Neurological Surgery | 175 N Medical Dr Fl 5, Salt Lake City, UT 84132-2303 | 2006-10-16 |
| 1487744090 | Joel Douglas Macdonald | Neurological Surgery | 82 S 1100 E Ste 103, Salt Lake City, UT 84102-1889 | 2006-10-13 |
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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.