SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC
NPI 1700234499
Anesthesiology - Pain Medicine in Cedar City, UT

NPI Status: Active since June 02, 2016

Contact Information

1303 N MAIN ST
CEDAR CITY, UT
ZIP 84721
Phone: (435) 586-2229
Fax: (535) 787-8149

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  • Organization
  • Anesthesiology
  • Pain Medicine
  • CLIA Number: 46D2143073
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-23-2026

About SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC

This page provides the complete NPI Profile along with additional information for Southwest Spine And Pain Care Specialists Llc, a provider established in Cedar City, Utah operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1700234499 assigned on June 2016. The practitioner's primary taxonomy code is 207LP2900X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Southwest Spine And Pain Care Specialists Llc 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 Derek Lee Frieden (Managing Partner)

NPI
1700234499
Provider Name
SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC
Entity Type
Organization
Location Address
1303 N MAIN ST CEDAR CITY, UT 84721
Location Phone
(435) 586-2229
Location Fax
(535) 787-8149
Mailing Address
PO BOX 912042 ST GEORGE, UT 84791
Mailing Phone
(435) 215-0230
Mailing Fax
(535) 787-8149
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-02-2016
Last Update Date
09-01-2021
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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

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEREK LEE FRIEDEN

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(435) 656-2424

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
46D2143073
Facility Type
Physician Office
Certificate Effective Date
January 24, 2024
Certificate Expiration Date
January 23, 2026
Laboratory Director
JON OBRAY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southwest Spine And Pain Care Specialists Llc 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 SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC

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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.
1700234499
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2700438418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 4 + 3 + 8 + 4 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1700234499 is valid because the calculated check digit 9 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
1336331958DR. TRAVIS JOHN BILANZICH D.O.
Individual
Obstetrics & Gynecology1303 N MAIN ST
CEDAR CITY, UT 84721
(435) 868-5522
1427211788 JACOB CORRY DO
Individual
Family Medicine1303 N MAIN ST STE 3C
CEDAR CITY, UT 84721
(435) 868-5500
1912142381 SUSAN S. STAHELI R.N., IBCLC
Individual
Registered Nurse (Lactation Consultant)1303 N MAIN ST
CEDAR CITY, UT 84721
(435) 868-5150
1205071578MRS. JENNY MARIE CALL RN
Individual
Registered Nurse1303 N MAIN ST
CEDAR CITY, UT 84721
(435) 868-5124
1659685980IHC HEALTH SERVICES INC
Organization
Clinic/Center (Multi-Specialty)1303 N MAIN ST
CEDAR CITY, UT 84721
(435) 586-7676
1770506230DR. THOMAS T MARSHALL MD
Individual
Family Medicine1303 N MAIN ST SUITE C
CEDAR CITY, UT 84721
(435) 868-5500
1295075224 ANNA C GIBSON RN
Individual
Health Educator1303 N MAIN ST
CEDAR CITY, UT 84721
(435) 868-5000
1659611689 KIMBERLY D HEATON RN
Individual
Health Educator1303 N MAIN ST
CEDAR CITY, UT 84721
(435) 868-5000
1215277249 AMANDA J CALLAWAY RN
Individual
Health Educator1303 N MAIN ST
CEDAR CITY, UT 84721
(435) 868-5000
1871594002 THOMAS MICHAEL DENHALTER RN, MSN, FNP-C
Individual
Nurse Practitioner1303 N MAIN ST SUITE H
CEDAR CITY, UT 84721
(435) 868-5570
1255537429 TODD MICHAEL GARRETT M.D.
Individual
Internal Medicine1303 N MAIN ST
CEDAR CITY, UT 84721
(435) 868-5500
1225434657 RYAN WESLEY HUBER MS, ATC
Individual
Specialist/Technologist (Athletic Trainer)1303 N MAIN ST
CEDAR CITY, UT 84721
(435) 868-5000
1700262045 NATALIE LISONBEE RN
Individual
Registered Nurse (Perinatal)1303 N MAIN ST
CEDAR CITY, UT 84721
(435) 868-5000
1578930368 CHRISTY HUGIE RN
Individual
Registered Nurse (Perinatal)1303 N MAIN ST
CEDAR CITY, UT 84721
(435) 868-5000
1306205505 RILEY F PHELPS DPT
Individual
Physical Therapist1303 N MAIN ST
CEDAR CITY, UT 84721
(435) 868-5726
1205862208MS. KIMBERLY DAWN HAYCOCK PA-C
Individual
Physician Assistant1303 N MAIN ST
CEDAR CITY, UT 84721
(435) 868-5251
1750760997 MELISSA MENDINI ATC
Individual
Specialist/Technologist (Athletic Trainer)1303 N MAIN ST
CEDAR CITY, UT 84721
(435) 868-5000
1508309915IHC HEALTH SERVICES INC
Organization
Hospitalist1303 N MAIN ST
CEDAR CITY, UT 84721
(435) 868-5567
1922132729IHC HEALTH SERVICES INC
Organization
Internal Medicine (Cardiovascular Disease)1303 N MAIN ST SUITE H
CEDAR CITY, UT 84721
(435) 868-5500
1952564627MR. MORI SAMUEL SPEAKMAN MD
Individual
Family Medicine1303 N MAIN ST
CEDAR CITY, UT 84721
(435) 868-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700234499, enumerated in the NPI registry as an "organization" on June 02, 2016

The provider is located at 1303 N Main St Cedar City, Ut 84721 and the phone number is (435) 586-2229

This medical organization specializes in Anesthesiology with taxonomy code 207LP2900X with a focus in Pain Medicine

The provider's CLIA number is 46D2143073 for a "physician office" 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 June 02, 2016. 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.