Provider Demographics
NPI:1598426314
Name:ROBOTIC ORTHOPAEDIC INSTITUTE ST. GEORGE
Entity Type:Organization
Organization Name:ROBOTIC ORTHOPAEDIC INSTITUTE ST. GEORGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HICKEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:435-523-3378
Mailing Address - Street 1:1490 E FOREMASTER DR STE 260
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-4502
Mailing Address - Country:US
Mailing Address - Phone:435-523-3378
Mailing Address - Fax:435-523-3376
Practice Address - Street 1:1490 E FOREMASTER DR STE 260
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-4502
Practice Address - Country:US
Practice Address - Phone:435-523-3378
Practice Address - Fax:435-523-3376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Multi-Specialty
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle SurgeryGroup - Multi-Specialty
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Multi-Specialty
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty