PARK CITY HEALTHCARE, PC (NPI# 1508067950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508067950 |
| Entity Type | Organization |
| Organization Name | PARK CITY HEALTHCARE, PC |
| Other Organization Name | PARK CITY CLINIC |
| Practice Address |
1665 Bonanza Drive Park City UT 84060 |
| Mailing Address |
P.o. Box 680670 Park City UT 84068 |
| Practice Telephone | 4356497640 |
| Practice Fax Number | 4356491365 |
| Mailing Telephone | 4356497640 |
| Mailing Fax Number | 4357769353 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2011-07-22 |
| Authorized Official Name | STEPHEN F SWANSON (ADMINISTRATOR) |
| Authorized Official Telephone | 4356497640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Park City Clinic | Doing Business As Name - Organization |
| Street Address |
1665 BONANZA DRIVE |
| City | PARK CITY |
| State | UT |
| Zip Code | 84060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649379413 | Eileen Burke-price | Physician Assistant | 1665 Bonanza Drive, Park City, UT 84060 | 2006-09-21 |
| 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 | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548208028 | William Pidwell | Legal Medicine | 750 Round Valley Dr., Suite 201, Park City, UT 84060-5127 | 2006-06-04 |
| 1861423113 | Cress Roy Bohnn | Legal Medicine | 1665 Bonanza Dr, Park City, UT 84060-5127 | 2006-07-05 |
| 1588611495 | Ronald Herbert Lepley | Legal Medicine | 1665 Bonanza Dr, Park City, UT 84060-5127 | 2006-05-27 |
| 1083669204 | Charles Reese Morrison | Legal Medicine | 1665 Bonanza Dr, Park City, UT 84060-5127 | 2006-05-24 |
| 1740235290 | Kathleen Thomas | Legal Medicine | 1665 Bonanza Dr, Park City, UT 84060-5127 | 2006-05-23 |
| 1912951393 | Robert T Winn | Legal Medicine | 1665 Bonanza Dr, Park City, UT 84060-5127 | 2006-05-20 |
| 1144274499 | Christopher Hays | Legal Medicine | 1665 Bonanza Dr, Park City, UT 84060-5127 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508305566 | Gracelyn Estrada | Legal Medicine | 955 S 225 E, Layton, UT 84041-4169 | 2017-02-22 |
| 1235391327 | David L. Wilkerson | Legal Medicine | 2856 Snow Cir, St George, UT 84790-7650 | 2008-06-30 |
| 1487716031 | Crossroads Family Medicine | Legal Medicine | 1305 N Commerce Dr Ste 120, Saratoga Springs, UT 84043-5309 | 2006-12-13 |
| 1871502567 | Henry Klein | Legal Medicine | 3556 W 9800 S Ste 101, South Jordan, UT 84095-3221 | 2006-08-05 |
| 1760490122 | South Summit Pediatrics. LLC | Legal Medicine | 267 E Traversepoint Drive, Draper, UT 84020 | 2006-08-03 |
| 1215964309 | Randal John Lewis | Legal Medicine | 310 E 4500 S Ste 410, Murray, UT 84107-3993 | 2006-06-26 |
| 1669452298 | Custom Medical Services | Legal Medicine | Rr 3 Box 3053, Roosevelt, UT 84066-9609 | 2006-01-19 |
| 1033111810 | Andrew Gerald Smith | Legal Medicine | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2005-08-11 |
| 1710152228 | Brent J. Bowen, M.d.p.c. | Legal Medicine | 5250 Commerce Dr, Suite 200, Salt Lake City, UT 84107-7926 | 2008-04-25 |
| 1588795264 | Thomas Llewellyn Jones | Legal Medicine | 3195 S Main St, Salt Lake City, UT 84115-3749 | 2007-03-07 |
| 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.