| Onehealth | |
|
292 S 1470 E Ste 200 Saint George UT 84790-1764 | |
| (435) 688-0759 | |
| (435) 656-0491 |
| Full Name | Onehealth |
|---|---|
| Speciality | Internal Medicine |
| Location | 292 S 1470 E Ste 200, Saint George, Utah |
| Authorized Official Name and Position | Scott Ford (OWNER MANAGER) |
| Authorized Official Contact | 4356880759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Onehealth 292 S 1470 E Ste 200 Saint George UT 84790-1764 Ph: (435) 688-0759 | Onehealth 292 S 1470 E Ste 200 Saint George UT 84790-1764 Ph: (435) 688-0759 |
| NPI Number | 1558567123 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 07/25/2024 |
| Medicare PECOS PAC ID | 7214943224 |
|---|---|
| Medicare Enrollment ID | O20060301000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558567123 | NPI | - | NPPES |
| 143045912001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4998928-1205 (Utah) | Primary |
| Provider Name | Grace J Paradela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588673826 PECOS PAC ID: 3678562568 Enrollment ID: I20040506001528 |
| Provider Name | Stacy Lynn Sumpter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518922913 PECOS PAC ID: 6709988959 Enrollment ID: I20070219000807 |
| Provider Name | Tyler William Rencher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649614744 PECOS PAC ID: 8820388291 Enrollment ID: I20160526001837 |
| Provider Name | Adam H Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861754947 PECOS PAC ID: 8820248107 Enrollment ID: I20170301001361 |
| Provider Name | William C Caplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801393236 PECOS PAC ID: 4385982313 Enrollment ID: I20190215002453 |
| Provider Name | Jonathan Ray Baza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861840803 PECOS PAC ID: 5496048308 Enrollment ID: I20190612000327 |
| Provider Name | Angela Jeung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366928855 PECOS PAC ID: 1355723149 Enrollment ID: I20220726001677 |
| Provider Name | Jacob William Ewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245984269 PECOS PAC ID: 3870959349 Enrollment ID: I20230525002600 |
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