DR. SANDRA LYNN VANLEUVEN (NPI# 1538109715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538109715 |
| Entity Type | Individual |
| Full Name | DR. SANDRA LYNN VANLEUVEN |
| Credential | M.D., PH.D. |
| Practice Address |
1743 Redstone Center Dr Suite 115 Park City UT 84098-7929 |
| Mailing Address |
Po Box 510708 Salt Lake City UT 84151-0708 |
| Practice Telephone | 4356589200 |
| Practice Fax Number | 4356589210 |
| Mailing Telephone | 8012133900 |
| Mailing Fax Number | 8015853655 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2014-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5426490-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | D5371 | 05 |
| Street Address |
1743 REDSTONE CENTER DR SUITE 115 |
| City | PARK CITY |
| State | UT |
| Zip Code | 84098-7929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811940075 | Lee E Taylor | Pharmacist | 1743 Redstone Center Dr, Park City, UT 84098-7600 | 2006-05-18 |
| 1730637661 | Alessandra Zimmerman Maw | Physician Assistant | 1743 Redstone Center Dr, Park City, UT 84098-7929 | 2016-09-20 |
| 1992139133 | Lindsey Smart Smith | Physician Assistant | 1743 Redstone Center Dr, Park City, UT 84098-7929 | 2013-08-23 |
| 1770749806 | University of Utah Hospitals and Clinics | Optometrist | 1743 Redstone Center Dr, Ste. 115, Park City, UT 84098-7929 | 2008-07-29 |
| 1053433482 | Leslie Anne Lords | Pharmacist | 1743 Redstone Center Dr, Park City, UT 84098 | 2007-04-05 |
| 1871622985 | Wayne L Stokes | Physical Medicine & Rehabilitation | 1743 Redstone Center Dr, Ste. 115, Park City, UT 84098-7929 | 2007-03-05 |
| 1164503959 | Colleen M Schubach | Optometrist | 1743 Redstone Center Dr, Park City, UT 84098-7929 | 2006-10-18 |
| 1508956129 | Mary H Parsons | Internal Medicine | 1743 Redstone Center Dr, Ste. 115, Park City, UT 84098-7929 | 2006-10-13 |
| 1043300650 | Karen Elisabeth Lantz | Pediatrics | 1743 Redstone Center Dr, Ste. 115, Park City, UT 84098-7929 | 2006-10-13 |
| 1013006600 | University of Utah | Pharmacy | 1743 Redstone Center Dr, Ste 115, Park City, UT 84098-7929 | 2006-10-12 |
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| 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 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831454446 | Ihc Health Services Inc | Family Medicine | 3850 Canyons Resort Dr, Park City, UT 84098-6546 | 2012-07-10 |
| 1053529255 | Kenneth Alan Wolkoff | Family Medicine | 3065 Fawn Dr, Park City, UT 84098-5368 | 2007-05-19 |
| 1780772624 | Joseph H Berman | Family Medicine | 1743 West Redstone Center Ste 115, Park City, UT 84098-7600 | 2006-10-10 |
| 1396777876 | Ian Bruce Hassin | Family Medicine | 3220 Daybreaker Dr, Park City, UT 84098-5838 | 2006-07-07 |
| 1710944145 | Mehboob I Vora Do LLC | Family Medicine | 1755 E 61st St N, Park City, KS 67219-1917 | 2006-04-28 |
| 1821067653 | James Gregory Kahrs | Family Medicine | 1755 E. 61st St. N, Park City, KS 67219-1917 | 2006-03-15 |
| 1265439236 | Stefani Jane Day | Family Medicine | 1665 Bonanza Dr, Park City, UT 84060-5127 | 2005-07-05 |
| 1669867040 | Mary Weaver Veghte | Family Medicine | 750 Round Valley Dr, Park City, UT 84060-7548 | 2015-04-01 |
| 1053715763 | University of Utah Community Physicians Group | Family Medicine | 1743 Redstone Center Dr Ste 115, Park City, UT 84098-7930 | 2014-10-09 |
| 1588074256 | Ihc Health Services Inc | Family Medicine | 2720 Homestead Road, Ste 100, Park City, UT 84098-4882 | 2014-05-05 |
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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.