SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC (NPI# 1700234499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700234499 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC |
| Practice Address |
1303 N Main St Cedar City UT 84721-9746 |
| Mailing Address |
652 S Medical Center Dr Suite 110 St George UT 84790-7049 |
| Practice Telephone | 4355862229 |
| Practice Fax Number | 5357878149 |
| Mailing Telephone | 4356562424 |
| Mailing Fax Number | 4356562828 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | DEREK LEE FRIEDEN (MANAGING PARTNER) |
| Authorized Official Telephone | 4356562424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508368465 | Southwest Spine and Pain Care Specialists LLC | Community/Behavioral Health | 1085 S Bluff St Ste 200, Saint George, UT 84770-5245 | 2018-03-06 |
| 1134582570 | Southwest Spine and Pain Care Specialists LLC | Anesthesiology | 630 E 1400 N, Suite 135, Logan, UT 84341-2534 | 2016-04-02 |
| 1144509985 | Southwest Spine and Pain Care Specialists LLC | Internal Medicine | 652 S Medical Center Dr, Ste 110, Saint George, UT 84790-7017 | 2011-08-10 |
| Street Address |
1303 N MAIN ST |
| City | CEDAR CITY |
| State | UT |
| Zip Code | 84721-9746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528063617 | Mitchell Joe Melling | Family Medicine | 1303 N Main St, Cedar City, UT 84721-9746 | 2005-06-16 |
| 1659903797 | Elizabeth Hill | Dietitian, Registered | 1303 N Main St, Cedar City, UT 84721-9746 | 2020-02-06 |
| 1427698802 | Kasidee Danielle Passey | Occupational Therapist | 1303 N Main St, Cedar City, UT 84721-9746 | 2020-01-13 |
| 1023656592 | Dyllan J Almond | Registered Nurse | 1303 N Main St, Cedar City, UT 84721-9746 | 2019-12-16 |
| 1346896768 | Ihc Health Services Inc | Radiology | 1303 N Main St, Cedar City, UT 84721-9746 | 2019-08-12 |
| 1184286619 | Trenton Poulson | Physical Therapist | 1303 N Main St, Cedar City, UT 84721-9746 | 2019-07-04 |
| 1235657321 | Pa Skills, Pllc | Clinic/Center | 1303 N Main St, Cedar City, UT 84721-9746 | 2017-09-08 |
| 1508309915 | Ihc Health Services Inc | Hospitalist | 1303 N Main St, Cedar City, UT 84721-9746 | 2016-12-02 |
| 1306205505 | Riley F Phelps | Physical Therapist | 1303 N Main St, Cedar City, UT 84721-9746 | 2016-02-16 |
| 1578930368 | Christy Hugie | Registered Nurse | 1303 N Main St, Cedar City, UT 84721-9746 | 2015-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205496189 | Heather Kirchmeier | Registered Nurse | 260 E D.l. Sargent Drive, Cedar City, UT 84721 | 2019-06-13 |
| 1245794080 | Enoch Dental Care, LLC | Clinic/Center | 850 East Midvalley Rd, Enoch, UT 84721 | 2019-01-25 |
| 1619459054 | Eulalia Marie Hall | Nurse Practitioner | 1303 N. Main St, Cedar City, UT 84721 | 2018-09-01 |
| 1922559285 | Renewed Hope Ranch, LLC | Community/Behavioral Health | 425 East 6000 North, Enoch, UT 84721 | 2016-10-20 |
| 1215480629 | Kyle Thomas | Counselor | 1870 N. Main Ste 102, Cedar City, UT 84721 | 2016-08-02 |
| 1093199135 | Fresenius Medical Care Cedar City, LLC | Clinic/Center | 1320 North Main Street, Cedar City, UT 84721 | 2015-07-18 |
| 1851700736 | Jason Arch | Chiropractor | 476 E Midvalley Rd, Cedar City, UT 84721 | 2014-08-05 |
| 1902237183 | Virgil Eric Bonnett | Social Worker | 4921 North Bald Eagle Dr., Enoch, UT 84721 | 2013-12-12 |
| 1891065280 | Merry A. Kelly | Registered Nurse | 260 E Dl Sargent Drive, Cedar City, UT 84721 | 2012-01-03 |
| 1235444787 | Adolescent Life Choices | Residential Treatment Facility, Emotionally Disturbed Children | 467 N. 300 W., Cedar City, UT 84721 | 2010-08-09 |
| Find all providers in zip 84721 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 |
|---|---|---|---|---|
| 1144431958 | Alan Hillstead | Anesthesiology | 1303 N Main St, Cedar City, UT 84721-9746 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952865412 | Avail Medical LLC | Anesthesiology | 5742 S 1475 E Ste 200, South Ogden, UT 84403-4856 | 2019-01-29 |
| 1033597257 | Ashley Renee Donaldson | Anesthesiology | Spinal Interventions, 280 W River Park Drive Suite 200, Provo, UT 84604 | 2015-05-07 |
| 1609204338 | Interventional Spine & Pain Management | Anesthesiology | 5801 S Fashion Blvd Ste 180, Murray, UT 84107-8135 | 2013-10-15 |
| 1225387491 | Clinton D. Olsen | Anesthesiology | 280 W River Park Dr, Suite 200, Provo, UT 84604-5793 | 2012-09-04 |
| 1134429384 | Intermountain Medical Monitoring LLC | Anesthesiology | 1306 Deer Crest, Fruit Heights, UT 84037 | 2010-10-21 |
| 1861622219 | Jeremy Joyal | Anesthesiology | 11760 S 700 E Ste 112, Draper, UT 84020-6605 | 2009-07-20 |
| 1205058294 | Joseph Courtney Empey | Anesthesiology | 617 E Riverside Dr Ste 301, St George, UT 84790-8722 | 2007-05-02 |
| 1962439570 | Gordon Petty George, Md, PC | Anesthesiology | 800 N 700 W, Ste 340a, Orem, UT 84057 | 2006-06-27 |
| 1770558090 | Bryan C Hoelzer | Anesthesiology | 320 River Park Dr Ste 255, Provo, UT 84604 | 2006-02-21 |
| 1164421053 | Dale Gerald Stott | Anesthesiology | 301 N 200 E, Suite 2a, St George, UT 84770-3010 | 2005-07-21 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR CITY |
| Zip Code | 84721 |
Please comment or provide details below to improve the information on SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC.
| 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.