DR. WILLIAM PIDWELL (NPI# 1548208028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548208028 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM PIDWELL |
| Practice Address |
750 Round Valley Dr. Suite 201 Park City UT 84060-5127 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 4356497640 |
| Practice Fax Number | 4356491365 |
| Mailing Telephone | 8014916482 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2012-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 173000000X | Legal Medicine | 5755327-1205 | UT | Other Service Providers |
| Y | 207Q00000X | Family Medicine | 5755327-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
750 ROUND VALLEY DR. SUITE 201 |
| City | PARK CITY |
| State | UT |
| Zip Code | 84060-5127 |
| 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 | 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 |
| Find all providers in PARK CITY | ||||
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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.