Gus C Pendleton (NPI# 1649361874, PAC ID# 4880645506) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1649361874 |
| PAC ID by PECOS | 4880645506 |
| Professional Enrollment ID | I20051008000195 |
| Full Name | Gus C Pendleton |
| Organization Legal Name | CENTRAL UTAH CLINIC P C |
| Address |
736 S 900 Suite 203 St George UT 84790-7003 |
| Phone Number | 4356736131 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7517868508 |
| Number of Group Practice Members | 333 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460021 | DIXIE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 736 S 900, Suite 203, St George, UT 84790-7003 | 4356736131 | CENTRAL UTAH CLINIC P C |
| Organization Legal Name | CENTRAL UTAH CLINIC P C |
| Physicians | 327 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameran Rachelle Wilson | Nurse Practitioner | Central Utah Clinic P C | 5896 S Ridgeline Dr, Suite B, South Ogden, UT 84405-4928 |
| Brandon Houtz Rawlings | Qualified Audiologist | Central Utah Clinic P C | 1175 E 50, Suite 211, American Fork, UT 84003-2845 |
| Vanessa May Dexter | Nurse Practitioner | Central Utah Clinic P C | 1152 E 200, American Fork, UT 84003-2004 |
| Arlene Johnston | Nurse Practitioner | Central Utah Clinic P C | 97 Professional Way, Suite 2, Payson, UT 84651-1680 |
| Drake Scott Mason | Nurse Practitioner | Central Utah Clinic P C | 568 S Main St, Monroe, UT 84754-4400 |
| Debra Ann Ledingham | Nurse Practitioner | Central Utah Clinic P C | 1886 W 800, Pleasant Grove, UT 84062-4097 |
| Evangeline K Lindorf | Nurse Practitioner | Central Utah Clinic P C | 159 N 400, Suite B 8, Orem, UT 84057-1909 |
| Nicholas Paul Wittwer | Physician Assistant | Central Utah Clinic P C | 1055 N 500, Provo, UT 84604-3305 |
| Ekaete Sunday Udodong | Nurse Practitioner | Central Utah Clinic P C | 4095 E Pony Express Pkwy, Suite 1, Eagle Mountain, UT 84005-5531 |
| Scott David Peterson | Family Medicine | Central Utah Clinic P C | 575 S State St, Orem, UT 84058-6303 |
| Street Address |
736 S 900 SUITE 203 |
| City | ST GEORGE |
| State | UT |
| Zip | 84790-7003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Bryan Ellsworth | Urology | 736 S 900, Suite 108, Saint George, UT 84790-7002 | |
| Michael W Manning | Orthopedic Surgery | 736 S 900, Suite 202, St George, UT 84790-7003 | |
| William Fay Esplin | Family Medicine | Central Utah Clinic P C | 736 S 900, Suite 203, St George, UT 84790-7003 |
| Bryce Curtis Lunt | Family Medicine | Central Utah Clinic P C | 736 S 900, Suite 203, St George, UT 84790-7003 |
| Don A Yates | Podiatry | 736 S 900, Suite 101, St George, UT 84790-7001 | |
| Ami Parry | Nurse Practitioner | Central Utah Clinic P C | 736 S 900, Suite 203, St George, UT 84790-7003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith S Sampson | Nurse Practitioner | Ihc Health Services Inc | 652 S Medical Ctr Dr, 320 Sw Neurololgy Assoc, St George, UT 84790 |
| Joseph Aaron Smith | Optometry | 599 S Mall Dr, Spc K1, St George, UT 84790-1258 | |
| Andrew P White | Chiropractic | 435 N 1680 E, 6 Innova Pain Clinic, St George, UT 84790-1448 | |
| Bruce C Solomon | Clinical Social Worker | 2298 E 200, St George, UT 84790-1603 | |
| Justin W Salmon | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Brian T Richey | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Torrence Brock Kesterson | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Joshua L Frame | Internal Medicine | Southwest Internal Medicine, P. C. | 292 S 1470, Suite 100, St George, UT 84790-1764 |
| Jason C Swigert | Internal Medicine | Southwest Internal Medicine, P. C. | 292 S 1470, St George, UT 84790-1764 |
| Grace J Paradela | Internal Medicine | Grace Paradela Md PC | 292 S 1470, Suite 200, St George, UT 84790-1764 |
| Find all physicians in zip 84790 | |||
| City | ST GEORGE |
| Zip Code | 84790 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ST GEORGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gus C Pendleton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.