MOUNTAIN VALLEY IMAGING OF UTAH (NPI# 1114140027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114140027 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN VALLEY IMAGING OF UTAH |
| Other Organization Name | PARK CITY IMAGING |
| Practice Address |
1850 Sidewinder Dr #410 Park City UT 84060-7471 |
| Mailing Address |
2910 Washington Blvd Suite 310 Ogden UT 84401-3751 |
| Practice Telephone | 4356150250 |
| Practice Fax Number | 4356150252 |
| Mailing Telephone | 8016216671 |
| Mailing Fax Number | 8016276679 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-03-25 |
| Authorized Official Name | DR. JOHN C OLSON (PRESIDENT) |
| Authorized Official Telephone | 8016216671 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
170278-1205 | UT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Park City Imaging | Doing Business As Name - Organization |
| Street Address |
1850 SIDEWINDER DR #410 |
| City | PARK CITY |
| State | UT |
| Zip Code | 84060-7471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235188608 | Diagnostic Health Corporation | Physiological Laboratory | 1850 Sidewinder Dr, Suite 410, Park City, UT 84060-7471 | 2006-05-10 |
| 1366968653 | Zachary Sadoff | Physical Therapist | 1850 Sidewinder Dr, Park City, UT 84060-7471 | 2017-08-17 |
| 1710346960 | Alpine Sports Medicine | Specialist | 1850 Sidewinder Dr, Park City, UT 84060-7471 | 2016-02-16 |
| 1205024593 | Park City Imaging, Inc. | Radiology | 1850 Sidewinder Dr, #410, Park City, UT 84060-7471 | 2007-10-11 |
| 1679655625 | Kathleen M Papi-baker | Occupational Therapist | 1850 Sidewinder Dr, Park City, UT 84060-7471 | 2006-10-19 |
| 1255413282 | Laurette Savage-wing | Physical Therapist | 1850 Sidewinder Dr, Park City, UT 84060-7471 | 2006-10-19 |
| 1205918240 | S Marlene Hatch | Physical Therapist | 1850 Sidewinder Dr, Park City, UT 84060-7471 | 2006-10-19 |
| 1790867737 | Jan Watts | Physical Therapist | 1850 Sidewinder Dr, Park City, UT 84060-7471 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233920 | Livecare, Inc. | Nursing Care | 1830 Prospector Avenue, Park City, UT 84060 | 2020-04-02 |
| 1063904266 | Louise Knetzger Gallagher | Acupuncturist | 1107 Woodside Ave, Park City, UT 84060 | 2018-06-04 |
| 1942753421 | Valerie Alison Mey | Dietitian, Registered | 2985 Arabian Dr, Park City, UT 84060 | 2016-08-01 |
| 1659720936 | Vibrant Health PC | Anesthesiology | 1910 Prospector Ave Suite 302, Park City, UT 84060 | 2016-06-08 |
| 1538538657 | Pamela Hilbert | Dentist | 1830 Prospector Ave., Park City, UT 84060 | 2015-09-18 |
| 1174904924 | Julie Anna Bullen | Counselor | 2300 Monitor Drive, Park City, UT 84060 | 2015-06-17 |
| 1265825319 | William Gary Smith | Obstetrics & Gynecology | 2501 Creek Drive, Park City, UT 84060 | 2015-03-13 |
| 1497026330 | Earl Warren Stadler Jr. | Physical Medicine & Rehabilitation | 1500 Three Kings Drive Unit 31, Park City, UT 84060 | 2012-01-24 |
| 1538454541 | Belinda Duncan | Pharmacist | 2700 E Deer Valley Dr B105, Park City, UT 84060 | 2011-06-17 |
| 1184888315 | Cody Michael Calderwood | Dentist | 1600 Snow Creek Dr Ste A, Park City, UT 84060 | 2008-07-16 |
| Find all providers in zip 84060 | ||||
| Taxonomy Code | 2085D0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Neuroimaging |
| A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. |
| Notes: Source: American Academy of Neurology, www.aan.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952924169 | Nick B Nield | Radiology | 600 S Medical Center Dr, St George, UT 84790-8723 | 2020-05-21 |
| 1346441946 | Mountain Valley Imaging of Eastern Utah LLC | Radiology | 2910 Washington Blvd, Suite 310, Ogden, UT 84401-3751 | 2007-05-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.