| Southwest Spine And Pain Care Specialists, Llc | |
|
2891 E Mall Drive, Ste. 101 Saint George UT 84791 | |
| (435) 656-2424 | |
| (435) 656-2828 |
| Full Name | Southwest Spine And Pain Care Specialists, Llc |
|---|---|
| Speciality | Anesthesiology |
| Location | 2891 E Mall Drive, Ste. 101, Saint George, Utah |
| Authorized Official Name and Position | Ashley Pfatenhauer (CREDENTIALING & CONTRACTING MANAGER) |
| Authorized Official Contact | 4352150230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Spine And Pain Care Specialists, Llc Po Box 912042 Saint George UT 84791-2042 Ph: (435) 656-2424 | Southwest Spine And Pain Care Specialists, Llc 2891 E Mall Drive, Ste. 101 Saint George UT 84791 Ph: (435) 656-2424 |
| NPI Number | 1144509985 |
|---|---|
| Provider Enumeration Date | 08/10/2011 |
| Last Update Date | 01/28/2026 |
| Certification Date | 01/28/2026 |
| Medicare PECOS PAC ID | 6406020049 |
|---|---|
| Medicare Enrollment ID | O20111117000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144509985 | NPI | - | NPPES |
| Provider Name | Derek L Frieden |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1528059201 PECOS PAC ID: 0648248104 Enrollment ID: I20051010000553 |
| Provider Name | Shruti B Sanghvi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518073220 PECOS PAC ID: 7517964828 Enrollment ID: I20061030000561 |
| Provider Name | Brookanne J Mickelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013916915 PECOS PAC ID: 6800992041 Enrollment ID: I20070503000460 |
| Provider Name | Andrew P Talbott |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1619932761 PECOS PAC ID: 6709977820 Enrollment ID: I20070803000366 |
| Provider Name | Jon Bruce Obray |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1205814803 PECOS PAC ID: 6709958952 Enrollment ID: I20091001000368 |
| Provider Name | Rick White Obray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316087372 PECOS PAC ID: 9638246119 Enrollment ID: I20100219000707 |
| Provider Name | Brian Farley Richardson |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1437127826 PECOS PAC ID: 1153328828 Enrollment ID: I20130612000599 |
| Provider Name | Cole W Robinson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871799528 PECOS PAC ID: 5890012116 Enrollment ID: I20150714000690 |
| Provider Name | Bryt Alan Christensen |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1710203047 PECOS PAC ID: 6507015153 Enrollment ID: I20150723007879 |
| Provider Name | Eric David Freeman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679726772 PECOS PAC ID: 8527104157 Enrollment ID: I20160802001531 |
| Provider Name | Edward A Parry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104370436 PECOS PAC ID: 8123308202 Enrollment ID: I20161207000442 |
| Provider Name | Bryan Hoelzer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770558090 PECOS PAC ID: 5496728545 Enrollment ID: I20170629001559 |
| Provider Name | Matthew Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912436478 PECOS PAC ID: 8921370693 Enrollment ID: I20170816001850 |
| Provider Name | Kelsie A Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437672326 PECOS PAC ID: 3971863994 Enrollment ID: I20180212001155 |
| Provider Name | Rachel Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144797523 PECOS PAC ID: 2365782505 Enrollment ID: I20190325002620 |
| Provider Name | Taylor Lyman Beatty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841766201 PECOS PAC ID: 8628310414 Enrollment ID: I20190426000635 |
| Provider Name | Jenna T. Summerhays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558918367 PECOS PAC ID: 0840522579 Enrollment ID: I20191030002455 |
| Provider Name | Russell D Jepson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932430782 PECOS PAC ID: 8729104831 Enrollment ID: I20200319002172 |
| Provider Name | Casey Muir |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548654668 PECOS PAC ID: 8123335767 Enrollment ID: I20200511000759 |
| Provider Name | Michelle Catherine Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114599289 PECOS PAC ID: 1052717378 Enrollment ID: I20210910001638 |
| Provider Name | Shawn Allen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083147441 PECOS PAC ID: 1951651041 Enrollment ID: I20220512002877 |
| Provider Name | Jentry Mckell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508460841 PECOS PAC ID: 2668859117 Enrollment ID: I20220523000512 |
| Provider Name | Michael Grant |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154851467 PECOS PAC ID: 8325318512 Enrollment ID: I20220627001826 |
| Provider Name | Austin Mansfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568191088 PECOS PAC ID: 0345624722 Enrollment ID: I20220902001510 |
| Provider Name | Amber Majeskie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730760232 PECOS PAC ID: 2860801800 Enrollment ID: I20220926001195 |
| Provider Name | Mindi A Lemonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306560818 PECOS PAC ID: 5496122376 Enrollment ID: I20221107000386 |
| Provider Name | Tyler James Ostlund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285335018 PECOS PAC ID: 7911372446 Enrollment ID: I20230413002754 |
| Provider Name | Brittney Hemingway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093403834 PECOS PAC ID: 3779949201 Enrollment ID: I20230525001106 |
| Provider Name | Mark Sabin |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1841787595 PECOS PAC ID: 1153701230 Enrollment ID: I20230721000535 |
| Provider Name | Holly Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720747355 PECOS PAC ID: 3779975016 Enrollment ID: I20231006001141 |
| Provider Name | Sara A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336927441 PECOS PAC ID: 5799133047 Enrollment ID: I20231127001745 |
| Provider Name | Braden Jex |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1639531650 PECOS PAC ID: 7911260252 Enrollment ID: I20240105002929 |
| Provider Name | Michon Higginson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386379121 PECOS PAC ID: 9537508007 Enrollment ID: I20240416003965 |
| Provider Name | Brooke Mckell Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346000270 PECOS PAC ID: 9436590601 Enrollment ID: I20240520000360 |
| Provider Name | Jacob Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639915911 PECOS PAC ID: 4688113285 Enrollment ID: I20240827003897 |
| Provider Name | Curtis James Lura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679390504 PECOS PAC ID: 5395277750 Enrollment ID: I20241010002263 |
| Provider Name | Sylvan Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881085843 PECOS PAC ID: 3072830025 Enrollment ID: I20250207001234 |
Vive Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 W 1470 S, Saint George, UT 84770 Phone: 435-922-0640 | |
Brookside Wellness Center Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4688 S Wallace Dr Unit G, Saint George, UT 84790 Phone: 435-429-1042 | |
Achieving Behavioral Control Counseling Services Abc Counseling Servic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 N Mall Dr, Ste R, Saint George, UT 84790 Phone: 435-773-2063 | |
Axis Integrated Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 E 600 S Ste 2, Saint George, UT 84770 Phone: 808-723-5428 | |
Center For Couples & Families Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1173 So 250 West, Bldg 1- Suite 208, Saint George, UT 84770 Phone: 435-688-1111 Fax: 435-688-8488 | |
Mcnaughton Therapy Pllc Andrew Mcnaughton Sole Mbr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 W 2710 South Cir Ste 202a, Saint George, UT 84790 Phone: 773-575-9675 |