TRENTON L OVERALL, INC (NPI# 1922607589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922607589 |
| Entity Type | Organization |
| Organization Name | TRENTON L OVERALL, INC |
| Practice Address |
295 S 1470 E Ste 301 St George UT 84790-1762 |
| Mailing Address |
295 S 1470 E Ste 301 Saint George UT 84790-1762 |
| Practice Telephone | 4356735710 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | TRENTON L OVERALL (PRESIDENT) |
| Authorized Official Telephone | 4352186958 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | TRENTON L OVERALL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Desert Ridge Neurology | Doing Business As Name - Organization |
| Street Address |
295 S 1470 E STE 301 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-1762 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629596382 | Red Rock Neurology, LLC | Psychiatry & Neurology | 515 S 300 E Ste 107, St George, UT 84770-3931 | 2017-09-01 |
| 1306803226 | Laura Jean Schlagel | Psychiatry & Neurology | 2019 E Riverside Dr Ste A101, St George, UT 84790-8147 | 2006-04-26 |
| 1407239080 | Southern Utah Neurology, Inc. | Psychiatry & Neurology | 640 E 700 S, #204, St George, UT 84770-5732 | 2015-07-01 |
| 1306284765 | Swati Laroia Coon | Psychiatry & Neurology | 652 S Medical Center Dr Ste 420, St George, UT 84790-7049 | 2013-06-07 |
| 1841575032 | Trenton Lee Overall | Psychiatry & Neurology | 652 S Medical Center Dr, 320, St George, UT 84790-7049 | 2011-10-19 |
| 1306081187 | Ihc Health Services Inc | Psychiatry & Neurology | 652 S Medical Center Dr, Ste 320, St George, UT 84790-7266 | 2008-12-09 |
| 1811175730 | Cordia Yuen Wan | Psychiatry & Neurology | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2008-02-01 |
| 1497976864 | Taj N Becker | Psychiatry & Neurology | 736 S 900 E, 202, St George, UT 84790-7000 | 2007-05-01 |
| 1841219375 | Daniel Brennan Vine | Psychiatry & Neurology | 652 S Medical Center Dr, Ste 320, St George, UT 84790-7049 | 2006-07-18 |
| 1033175765 | Luciana De Saibro | Psychiatry & Neurology | 652 S Medical Center Dr, Suite 320, St George, UT 84790 | 2006-04-21 |
| 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.