Advanced Family Medicine, LLC
NPI 1639546377ActiveOrganization· Family Medicine· St George, UT
Family Medicine in St George, Utah, registered in NPPES in August 2015, part of Advanced Family Medicine, LLC. The authorized official on file is Roger A. Russell, DC, Clinic Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639546377 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Advanced Family Medicine, LLC |
| NPI issued | Aug 28, 2015 |
| Last updated in NPPES | Aug 28, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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