| Premier Heart & Vascular | |
|
1841 E Riverside Dr Ste 102 St George UT 84790-7063 | |
| (435) 900-6001 | |
| (435) 900-6002 |
| Full Name | Premier Heart & Vascular |
|---|---|
| Speciality | Radiology |
| Location | 1841 E Riverside Dr Ste 102, St George, Utah |
| Authorized Official Name and Position | Ronald C Fry (OWNER) |
| Authorized Official Contact | 4359006001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Heart & Vascular 2280 E 3860 S St George UT 84790-5027 Ph: (435) 900-6001 | Premier Heart & Vascular 1841 E Riverside Dr Ste 102 St George UT 84790-7063 Ph: (435) 900-6001 |
| NPI Number | 1457222036 |
|---|---|
| Provider Enumeration Date | 09/16/2025 |
| Last Update Date | 09/16/2025 |
| Certification Date | 09/16/2025 |
| Medicare PECOS PAC ID | 3870072366 |
|---|---|
| Medicare Enrollment ID | O20260204004605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457222036 | NPI | - | NPPES |
| Provider Name | Aaron E Frodsham |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1184807208 PECOS PAC ID: 5597933432 Enrollment ID: I20110721000044 |
| Provider Name | Craig William Degen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245882596 PECOS PAC ID: 3173922424 Enrollment ID: I20210519000861 |
| Provider Name | Brian Evans |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1518917582 PECOS PAC ID: 1355597766 Enrollment ID: I20221213001984 |
| Provider Name | Cheyenne Elaine Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619693611 PECOS PAC ID: 7517489156 Enrollment ID: I20250324001768 |
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