| Cedar Ridge Family Medicine | |
|
110 West 1325 North #200 Cedar City UT 84720 | |
| (435) 586-7676 | |
| (435) 586-2290 |
| Full Name | Cedar Ridge Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 110 West 1325 North, Cedar City, Utah |
| Authorized Official Name and Position | Steven R Newman (OWNER) |
| Authorized Official Contact | 4355867676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Ridge Family Medicine 110 West 1325 North #200 Cedar City UT 84720 Ph: (435) 586-7676 | Cedar Ridge Family Medicine 110 West 1325 North #200 Cedar City UT 84720 Ph: (435) 586-7676 |
| NPI Number | 1740260504 |
|---|---|
| Provider Enumeration Date | 01/18/2006 |
| Last Update Date | 12/13/2022 |
| Medicare PECOS PAC ID | 3971553884 |
|---|---|
| Medicare Enrollment ID | O20050128000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740260504 | NPI | - | NPPES |
| 529727490005 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 50914131205 (Utah) | Primary |
| Provider Name | Jason Karl North |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285760132 PECOS PAC ID: 1456256361 Enrollment ID: I20031204000248 |
| Provider Name | Michael R Taylor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942260286 PECOS PAC ID: 9537157250 Enrollment ID: I20040504000794 |
| Provider Name | Jarid Gray |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861409120 PECOS PAC ID: 8325098239 Enrollment ID: I20050131000263 |
| Provider Name | Steven R Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134157613 PECOS PAC ID: 9931175346 Enrollment ID: I20070116000247 |
| Provider Name | Drew Ernest Polson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700084829 PECOS PAC ID: 4587856257 Enrollment ID: I20101013000553 |
| Provider Name | Ryan L Emmett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083837934 PECOS PAC ID: 6103835657 Enrollment ID: I20151006000802 |
| Provider Name | Michael Brent Bulloch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700149804 PECOS PAC ID: 7315161650 Enrollment ID: I20151027001936 |
| Provider Name | Kyle Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932533445 PECOS PAC ID: 3971828120 Enrollment ID: I20190816002471 |
| Provider Name | Brian C Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609308717 PECOS PAC ID: 3072881432 Enrollment ID: I20200814000774 |
| Provider Name | Garrett Ray Galt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578207999 PECOS PAC ID: 2567831514 Enrollment ID: I20221213003169 |
North Family Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 E Canyon Commercial Ave, Cedar City, UT 84720 Phone: 435-867-8050 Fax: 435-867-8083 | |
Sheldon Family Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 96 N Main St, Ste 103, Cedar City, UT 84720 Phone: 435-867-8986 Fax: 435-867-6233 | |
D/b/a Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 245 East 680 South, Family Healthcare Center East Clinic, Cedar City, UT 84720 Phone: 435-865-1387 Fax: 435-865-6357 | |
Steven C Taggart Od Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 S Providence Center Dr, Cedar City, UT 84720 Phone: 435-865-2809 | |
Cedar City Chiropractic And Rehabilitation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1180 Sage Dr Ste E, Cedar City, UT 84720 Phone: 435-867-6354 | |
Advanced Family Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1760 N Main St, Suite 103, Cedar City, UT 84721 Phone: 435-867-0644 | |
Southern Utah Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W 1325 N, Cedar City, UT 84721 Phone: 435-868-6180 |