Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Damion D. Rodeback, PA-C

Individual provider Dermatology Physician · NPI 1083069793

Mr. Damion D. Rodeback, PA-C is a Physician Assistant in St George, Utah. Qualified in 2016, 10 years ago. Practices with Springville Dermatology and Diagnostics PC, a 6-clinician group and accepts Medicare assignment. Licensed in California, Utah and Washington.

Years since qualifying
10
Licensed in
CA, UT, WA
In the registry since
2016
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1449 N 1400 W Ste 22
St George, UT 84770-5237
Phone: (435) 703-9296
Fax: (435) 215-4075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 65833191206 (UT)
Dermatology Physician Taxonomy 207N00000X · Licence 54658 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 54658 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA60677483 (WA)

Record details

NPI number1083069793
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 1, 2016
Last updated in NPPESMay 2, 2024
Certification dateApril 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Springville Dermatology And Diagnostics Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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