| Knee Regeneration And Advanced Healthcare Of St George | |
|
640 E 700 S Ste 206 Saint George UT 84770-5732 | |
| (928) 607-0407 | |
| Not Available |
| Full Name | Knee Regeneration And Advanced Healthcare Of St George |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 640 E 700 S Ste 206, Saint George, Utah |
| Authorized Official Name and Position | Tim Shinkle (CLINIC OWNER) |
| Authorized Official Contact | 9286070407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knee Regeneration And Advanced Healthcare Of St George 640 E 700 S Ste 206 Saint George UT 84770-5732 Ph: (928) 607-0407 | Knee Regeneration And Advanced Healthcare Of St George 640 E 700 S Ste 206 Saint George UT 84770-5732 Ph: (928) 607-0407 |
| NPI Number | 1316650666 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 05/22/2023 |
| Medicare PECOS PAC ID | 6709250988 |
|---|---|
| Medicare Enrollment ID | O20230330001533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316650666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | William Bentley Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043450760 PECOS PAC ID: 3274786538 Enrollment ID: I20130117000111 |
| Provider Name | Samuel J Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780114934 PECOS PAC ID: 0547512964 Enrollment ID: I20200616001226 |
| Provider Name | Bridget Salina Quintanilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417653023 PECOS PAC ID: 0345614533 Enrollment ID: I20230411002337 |
| Provider Name | Byron Morey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710503651 PECOS PAC ID: 9436573631 Enrollment ID: I20230427001431 |
| Provider Name | David Dalton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659755320 PECOS PAC ID: 1456628056 Enrollment ID: I20231020002278 |
| Provider Name | Leslie Echols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174028617 PECOS PAC ID: 2668724469 Enrollment ID: I20231026001229 |
| Provider Name | Joel Clutton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760063713 PECOS PAC ID: 0042668527 Enrollment ID: I20231121003229 |
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