PARK CITY GYNECOLOGY, LLC (NPI# 1376795989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376795989 |
| Entity Type | Organization |
| Organization Name | PARK CITY GYNECOLOGY, LLC |
| Practice Address |
1441 Ute Blvd Suite 160 Park City UT 84098-7630 |
| Practice Telephone | 4352145335 |
| Mailing Telephone | 4352145335 |
| Mailing Fax Number | 4352145340 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2010-03-12 |
| Authorized Official Name | DR. STEPHANIE M SINGER (MANAGER) |
| Authorized Official Telephone | 4352145335 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4894125-1204 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
1441 UTE BLVD SUITE 160 |
| City | PARK CITY |
| State | UT |
| Zip Code | 84098-7630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942223466 | David Teasley | Plastic Surgery | 1441 Ute Blvd, Suite 220, Park City, UT 84098-7630 | 2006-07-25 |
| 1851535272 | Travel Health Vaccines Inc | Clinic/Center | 1441 Ute Blvd, Ste. 220, Park City, UT 84098-7630 | 2009-04-29 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265744882 | Felicia R Katz | Obstetrics & Gynecology | 1743 Redstone Center Dr Ste 115, Park City, UT 84098-7930 | 2010-07-12 |
| 1205861937 | Asha Gandhi | Obstetrics & Gynecology | 351 Greenleaf Ave Ste F, Park City, IL 60085-5701 | 2006-07-11 |
| 1962402065 | Carmen M Woods | Obstetrics & Gynecology | 351 Greenleaf Ave, Ste A, Park City, IL 60085-5701 | 2005-07-29 |
| 1124028196 | William E Woods | Obstetrics & Gynecology | 351 S Greenleaf Avenue, Suite A, Park City, IL 60085 | 2005-07-29 |
| 1205066495 | Ihc Health Services Inc | Obstetrics & Gynecology | 900 Round Valley Dr, Ste 200, Park City, UT 84060-7532 | 2009-07-22 |
| 1467647271 | William E. Woods, Mdsc | Obstetrics & Gynecology | 351 Greenleaf Ave, Suite A, Park City, IL 60085-5701 | 2007-09-14 |
| 1467521278 | Asha Gandhi M.d.s.c | Obstetrics & Gynecology | 351 Greenleaf Ave Ste F, Park City, IL 60085-5701 | 2006-11-07 |
| 1588673974 | Jeanne M Falk | Obstetrics & Gynecology | 900 Round Valley Dr, Park City, UT 84060-7552 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144753013 | Jessica Kaplan | Obstetrics & Gynecology | University of Utah University Hospital, 50 N Medical Drive, Salt Lake City, UT 84132-0001 | 2017-04-07 |
| 1326571621 | Kylie Measom Soffe | Obstetrics & Gynecology | Ob Gyn Administration 30 N 1900 E Rm 2b200, Salt Lake City, UT 84132-2101 | 2017-04-04 |
| 1326492109 | Pennington Medical Center | Obstetrics & Gynecology | 3507 N University Ave Ste 175, Provo, UT 84604-6692 | 2016-04-19 |
| 1629430046 | Chadwick Miles Densley | Obstetrics & Gynecology | 12842 South 3600 West, Suite 200, Riverton, UT 84065 | 2016-03-24 |
| 1184090870 | Mountainstar Medical Group Timpanogos Specialty Care, LLC | Obstetrics & Gynecology | 1020 S 1100 W Ste B, Lehi, UT 84043-6041 | 2015-08-17 |
| 1639564016 | Kristen Hansord Lilja | Obstetrics & Gynecology | 82 S 1100 E Ste 305, Salt Lake City, UT 84102-4703 | 2015-04-01 |
| 1194119172 | Irina Cassimatis | Obstetrics & Gynecology | University of Utah Obgyn Dept, 30 N 1900 East. Room 2b200, Salt Lake City, UT 84132-0001 | 2015-03-26 |
| 1033509740 | Kathryn Fay | Obstetrics & Gynecology | 30 N 1900 E Rm 2a200, Salt Lake City, UT 84132-2209 | 2015-02-02 |
| 1932528676 | Aliye Runyan | Obstetrics & Gynecology | 30 North 1900 East 2a200, Dept of Obgyn, Salt Lake City, UT 84132 | 2014-04-09 |
| 1467870295 | Ashley Elizabeth Benson | Obstetrics & Gynecology | 30 N 9100 E, Room 2b200, Salt Lake City, UT 84132-0001 | 2014-03-29 |
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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.