INTERMOUNTAIN HEALTHCARE
NPI 1427456797
Orthopaedic Surgery - Sports Medicine in St George, UT
NPI Status: Active since December 18, 2014
Contact Information
652 S MEDICAL CENTER DR
SUITE 120
ST GEORGE, UT
ZIP 84790
Phone: (435) 251-3600
Fax: (435) 628-4469
- Organization
- Orthopaedic Surgery
- Sports Medicine
- CLIA Number: 46D2313718
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 11-05-2026
About INTERMOUNTAIN HEALTHCARE
This page provides the complete NPI Profile along with additional information for Intermountain Healthcare, a provider established in St George, Utah operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1427456797 assigned on December 2014. The practitioner's primary taxonomy code is 207XX0005X with license number 8207030-4810 (UT). The provider is registered as an organization and their NPI record was last updated 11 years ago. Intermountain Healthcare operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jennifer Lee Terry Atc (Athletic Trainer)
- NPI
- 1427456797
- Provider Name
- INTERMOUNTAIN HEALTHCARE
- Entity Type
- Organization
- Location Address
- 652 S MEDICAL CENTER DR SUITE 120 ST GEORGE, UT 84790
- Location Phone
- (435) 251-3600
- Location Fax
- (435) 628-4469
- Mailing Address
- 652 S MEDICAL CENTER DR SUITE 120 ST GEORGE, UT 84790
- Mailing Phone
- (435) 251-3600
- Mailing Fax
- (435) 628-4469
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-18-2014
- Last Update Date
- 12-18-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 8207030-4810
- License State
- UT
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D2313718
- Facility Type
- Community Clinic
- Certificate Effective Date
- November 06, 2024
- Certificate Expiration Date
- November 05, 2026
- Laboratory Director
- MONICA MORENO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Intermountain Healthcare to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for INTERMOUNTAIN HEALTHCARE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 4 | 5 | 6 | 7 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 8 | 5 | 12 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 8 + 5 + 1 + 2 + 7 + 1 + 8 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1427456797 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104850502 | MR. STEVE L PENMAN PA-C Individual | Physician Assistant | 652 S MEDICAL CENTER DR SUITE 120 ST GEORGE, UT 84790 (435) 628-4460 |
| 1205942059 | DR. CHRISTIAN SCOTT MILLWARD M.D. Individual | Family Medicine (Sports Medicine) | 652 S MEDICAL CENTER DR SUITE 120 ST GEORGE, UT 84790 (435) 628-4460 |
| 1588773204 | JOSEPH D FERGUSON PA Individual | Physician Assistant | 652 S MEDICAL CENTER DR SUITE 110 ST GEORGE, UT 84790 (435) 251-3700 |
| 1104953652 | IHC HEALTH SERVICES INC Organization | Orthopaedic Surgery | 652 S MEDICAL CENTER DR SUITE 400 ST GEORGE, UT 84790 (435) 251-2650 |
| 1649426800 | IHC HEALTH SERVICES INC Organization | Orthopaedic Surgery (Sports Medicine) | 652 S MEDICAL CENTER DR #LL20 ST GEORGE, UT 84790 (435) 251-2677 |
| 1447486071 | IHC HEALTH SERVICES INC Organization | Clinic/Center (Multi-Specialty) | 652 S MEDICAL CENTER DR STE 310 ST. GEORGE, UT 84790 (435) 251-3940 |
| 1912201898 | MICK JOSEPH HARDMAN PA-C Individual | Physician Assistant | 652 S MEDICAL CENTER DR #120 ST GEORGE, UT 84790 (435) 628-4460 |
| 1679865182 | IHC HEALTH SERVICES INC Organization | Internal Medicine (Gastroenterology) | 652 S MEDICAL CENTER DR STE 330 ST GEORGE, UT 84790 (435) 442-3156 |
| 1225319411 | IHC HEALTH SERVICES INC Organization | Internal Medicine (Sleep Medicine) | 652 S MEDICAL CENTER DR SUITE 310 ST GEORGE, UT 84790 (435) 251-3940 |
| 1164564860 | DIRK L SLADE M.D. Individual | Orthopaedic Surgery (Hand Surgery) | 652 S MEDICAL CENTER DR STE 400 ST GEORGE, UT 84790 (435) 251-2650 |
| 1649413303 | IHC HEALTH SERVICES INC Organization | Neurological Surgery | 652 S MEDICAL CENTER DR SUITE 420 ST GEORGE, UT 84790 (435) 251-3700 |
| 1518151331 | CINDY M DUKE PSYD Individual | Psychologist | 652 S MEDICAL CENTER DR STE 420 ST GEORGE, UT 84790 (435) 251-6800 |
| 1285825059 | IHC HEALTH SERVICES INC Organization | Plastic Surgery | 652 S MEDICAL CENTER DR STE 300 ST GEORGE, UT 84790 (435) 251-3670 |
| 1306081187 | IHC HEALTH SERVICES INC Organization | Psychiatry & Neurology (Neurology) | 652 S MEDICAL CENTER DR STE 320 ST GEORGE, UT 84790 (435) 251-3950 |
| 1093899924 | DIANE MARY VROENEN D.O. Individual | Physical Medicine & Rehabilitation | 652 S MEDICAL CENTER DR STE 420 ST GEORGE, UT 84790 (435) 251-6800 |
| 1558703306 | BRIAN DOUGLAS DAVENPORT DNP Individual | Nurse Practitioner (Family) | 652 S MEDICAL CENTER DR SUITE #420 ST GEORGE, UT 84790 (435) 251-6800 |
| 1053341115 | DR. ZACHARY ROBERT LEITZE MD Individual | Orthopaedic Surgery | 652 S MEDICAL CENTER DR SUITE 120 ST GEORGE, UT 84790 (435) 628-4460 |
| 1164828661 | SIDENA BITTON SLP Individual | Speech-Language Pathologist | 652 S MEDICAL CENTER DR ST GEORGE, UT 84790 (435) 251-2250 |
| 1588611602 | DR. STEVEN AARON KLOMP M.D. Individual | Plastic Surgery | 652 S MEDICAL CENTER DR SUITE 300 ST GEORGE, UT 84790 (435) 251-3670 |
| 1659505584 | MARK TOY YODER P.A. Individual | Physician Assistant | 652 S MEDICAL CENTER DR SUITE 420 SAINT GEORGE, UT 84790 (435) 251-6800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427456797, enumerated in the NPI registry as an "organization" on December 18, 2014
The provider is located at 652 S Medical Center Dr Suite 120 St George, Ut 84790 and the phone number is (435) 251-3600
This medical organization specializes in Orthopaedic Surgery with taxonomy code 207XX0005X with a focus in Sports Medicine
The provider's CLIA number is 46D2313718 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 18, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.