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

Tim Nowatzke, PA-C

Individual provider Physician Assistant · NPI 1215989645

Tim Nowatzke, PA-C is a Physician Assistant in St George, Utah. Qualified in 1998, 28 years ago. Practices with Southwest Skin and Cancer LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
28
Licensed in
UT
In the registry since
2006
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

383 S 300 E
St George, UT 84770-3620
Phone: (435) 628-2826
Fax: (435) 628-2839
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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 364827-1206 (UT)

Record details

NPI number1215989645
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESNovember 20, 2007
Mailing address383 S 300 E, St George, UT 84770-3620

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Southwest Skin And Cancer Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in St George