OrganizationActive
Red Ledges Dermatology PLLC
NPI 1417467986 · Dermatology Physician · St George, UT
Red Ledges Dermatology PLLC is a Dermatology Physician organization in St George, UT (NPI 1417467986).
Provider details
- NPI number
- 1417467986
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Warren Petererson, Owner(435) 703-9296
- License
- 179077-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1449 N 1400 W Ste 22
St George, UT 84770-5237
Phone: (435) 703-9296
Street-level locationGet directions
Mailing address
1449 N 1400 W Ste 22
St George, UT 84770-5237
Registry dates
- Enumerated
- 2017-10-10
- Last updated
- 2018-03-08
Frequently asked questions
- What is Red Ledges Dermatology PLLC's NPI number?
- Red Ledges Dermatology PLLC's National Provider Identifier (NPI) is 1417467986, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Red Ledges Dermatology PLLC?
- Red Ledges Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Red Ledges Dermatology PLLC located?
- Red Ledges Dermatology PLLC's practice location on file with NPPES is 1449 N 1400 W Ste 22, St George, UT 84770-5237.
- What is Red Ledges Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Red Ledges Dermatology PLLC is (435) 703-9296.
- Who is the authorized official for Red Ledges Dermatology PLLC?
- The authorized official listed on Red Ledges Dermatology PLLC's NPPES record is Warren Petererson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Red Ledges Dermatology PLLC's NPI active?
- Yes — Red Ledges Dermatology PLLC's NPI (1417467986) is active in the NPPES registry as of the last update on 2018-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.