DR. DAVID WILLIAM BLODGETT (NPI# 1902098429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902098429 |
| Entity Type | Individual |
| Full Name | DR. DAVID WILLIAM BLODGETT |
| Credential | MD |
| Practice Address |
620 S 400 E Suite 400 St George UT 84770-3700 |
| Practice Telephone | 4359862545 |
| Mailing Telephone | 4359862545 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
6413327-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 6413327-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144217092 | David W. Blodgett | Ophthalmology | 1710 S 70th St, Lincoln, NE 68506-1676 | 2005-10-05 |
| Street Address |
620 S 400 E SUITE 400 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720149040 | Lori Mcguire | Registered Nurse | 620 S 400 E, Suite 400, St George, UT 84770-3700 | 2006-12-12 |
| 1184275687 | Ashlee Dawn Dastrup | Registered Nurse | 620 S 400 E, St George, UT 84770-3700 | 2019-09-25 |
| 1235686221 | Tamsy Margaret Thompson | Registered Nurse | 620 S 400 E, Suite 400, St George, UT 84770-3700 | 2016-09-07 |
| 1043473358 | David A Debenham Md PC | Anesthesiology | 620 S 400 E, Suite 201, St George, UT 84770-3700 | 2008-07-07 |
| 1184893364 | Amber D Davis | Registered Nurse | 620 S 400 E, Suite 400, St George, UT 84770 | 2008-02-21 |
| 1780873141 | Debbie Ann Cox | Registered Nurse | 620 S 400 E, Suite 400, St George, UT 84770 | 2007-10-22 |
| 1982893350 | Susan G Little | Registered Nurse | 620 S 400 E, Suite 400, St George, UT 84770 | 2007-10-22 |
| 1447449988 | Susan Jean Peck | Registered Nurse | 620 S 400 E, Suite 400, St George, UT 84770 | 2007-10-22 |
| 1427247881 | Jeanie Elaine Criddle | Registered Nurse | 620 S 400 E, Suite 400, St George, UT 84770 | 2007-10-22 |
| 1164611521 | Kari Anne Abeyta | Registered Nurse | 620 S 400 E, Suite 400, St George, UT 84770 | 2007-10-22 |
| Find all providers in the same location | ||||
| 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 | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346701075 | Passport Health Holdings, LLC | Preventive Medicine | 563 W 500 South, Suite 215, Bountiful, UT 84010-8172 | 2019-03-26 |
| 1275050353 | San Juan Public Health Special Service District | Preventive Medicine | 735 South 200 West, Suite B, Blanding, UT 84511 | 2017-08-29 |
| 1457806135 | Tamara Lewis Sheffield | Preventive Medicine | 36 S State St Fl 21, Salt Lake City, UT 84111-1630 | 2016-08-23 |
| 1265733984 | John Charles Bailey | Preventive Medicine | 1330 E 2100 N, North Logan, UT 84341-2038 | 2010-11-11 |
| 1679732382 | Richard M Garden | Preventive Medicine | 14425 Bitterbrush Ln, Draper, UT 84020-9501 | 2008-06-06 |
| 1821203654 | Albert Gordon Reynolds | Preventive Medicine | 1871 West Cyn View Dr, Saint George, UT 84770 | 2007-05-14 |
| 1881652980 | Joseph K Miner | Preventive Medicine | 151 S University Ave, Suite 2800, Provo, UT 84601-4427 | 2006-05-01 |
| 1215427869 | Knew Visions Inc. | Preventive Medicine | 7984 S 1300 E, Sandy, UT 84094-0744 | 2018-05-18 |
| 1205377736 | Passport Health Holdings, LLC | Preventive Medicine | 1055 North 300 West, Ste 416, Provo, UT 84604-3354 | 2017-03-16 |
| 1477954402 | Passport Health Holdings LLC | Preventive Medicine | 7001 S 900 E, Ste 210, Midvale, UT 84047-5606 | 2014-09-09 |
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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.