DOUGLAS S LISTER (NPI# 1295958312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295958312 |
| Entity Type | Individual |
| Full Name | DOUGLAS S LISTER |
| Credential | DPM |
| Practice Address |
2720 Homestead Road Suite 50 Park City UT 84098-4885 |
| Mailing Address |
Po Box 34120 Reno NV 89533-4120 |
| Practice Telephone | 4356040449 |
| Practice Fax Number | 4356499202 |
| Mailing Telephone | 7757475050 |
| Mailing Fax Number | 7753298596 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2012-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E41920 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 000065013 | 05 | |
| UT | UTAH LICENSE | 6619665-0501 | 01 |
| Street Address |
2720 HOMESTEAD ROAD SUITE 50 |
| City | PARK CITY |
| State | UT |
| Zip Code | 84098-4885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588074256 | Ihc Health Services Inc | Family Medicine | 2720 Homestead Road, Ste 100, Park City, UT 84098-4882 | 2014-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069532 | Natasha Nicolle Peterson | Nurse Practitioner | Stat Md, 1784 Uinta Way E, Park City, UT 84098 | 2019-02-19 |
| 1750732079 | Rebecca Hansen | Physical Therapist | 1640 W Redstone Center Dr, Suite 200, Park City, UT 84098 | 2016-06-28 |
| 1497126130 | Megan Franz | Counselor | 3100 Pinebrook Rd, Park City, UT 84098 | 2015-10-07 |
| 1568752541 | Kortney James Stirland | Pharmacist | 750 Round Valley Drive #203, Park City, UT 84098 | 2011-04-12 |
| 1265763379 | Amy S Koch | Physical Therapy Assistant | 1640 West Redstone Drive, Suite 200, Park City, UT 84098 | 2010-01-29 |
| 1134374648 | Donna B Fischer | General Practice | 6531 N Landmark Dr., Park City, UT 84098 | 2008-11-25 |
| 1962659458 | Patricia A Lindsay Phd Inc | Psychologist | 1743 W Redstone Ctr Dr, #115, Park City, UT 84098 | 2008-08-26 |
| 1437314291 | Jeffrey S Holverson | Internal Medicine | 6240 N Snowview Dr, Park City, UT 84098 | 2008-07-22 |
| 1578728515 | Blair Archbold Smith | Physical Therapist | 6880 Canyon Drive Court, Park City, UT 84098 | 2008-07-18 |
| 1821255274 | Beth Anita Rylands | Physical Therapy Assistant | 1640 W. Redstone Center Dr., Suite 200, Park City, UT 84098 | 2008-05-21 |
| Find all providers in zip 84098 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841723145 | Bruce A Bever | Podiatrist | 351 Greenleaf St Ste C, Park City, IL 60085-5701 | 2017-04-04 |
| 1609190693 | Erin M Smielewski | Podiatrist | 351 Greenleaf St, Suite 200, Park City, IL 60085-5701 | 2010-03-18 |
| 1891788139 | Lisa M Schoene | Podiatrist | 351 S Greenleaf St, Suite C, Park City, IL 60085 | 2005-08-23 |
| 1831385574 | Lisa M Schoene Dpm PC | Podiatrist | 351 S Greenleaf St, Suite C, Park City, IL 60085-5725 | 2007-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922589258 | Valley Foot & Ankle | Podiatrist | 777 N 500 W Ste 103, Provo, UT 84601-1552 | 2018-08-24 |
| 1821514191 | Foot & Ankle Institute of Utah LLC | Podiatrist | 3584 W 9000 S Ste 301, West Jordan, UT 84088-5711 | 2017-08-18 |
| 1447771993 | Ihc Health Services Inc | Podiatrist | 201 W Layton Parkway, Layton, UT 84041 | 2017-07-05 |
| 1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
| 1043745987 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 150 N Main St Ste 202, Heber City, UT 84032-1671 | 2017-04-28 |
| 1205214053 | Elizabeth Tronstein | Podiatrist | 8822 S Redwood Rd Ste E121, West Jordan, UT 84088-5763 | 2015-05-13 |
| 1063807485 | Salt Lake Foot and Ankle Pllc | Podiatrist | 315 W Reed Ave, Unit 1, Salt Lake City, UT 84103-1492 | 2015-04-02 |
| 1881091601 | Ingrown Toenails Only | Podiatrist | 4019 W 12600 S Ste 120b, Riverton, UT 84096-7401 | 2014-11-21 |
| 1750794533 | Scott Humpherys, Dpm Inc | Podiatrist | 1355 N. University Ave, #125, Provo, UT 84604-2722 | 2014-06-09 |
| 1508115080 | Richard Eason Dpm PC | Podiatrist | 2269 W Bonanza Ct, South Jordan, UT 84095-8903 | 2012-08-30 |
| Find all providers with the same taxonomy | ||||
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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.