UTAH PODIATRY GROUP LLC (NPI# 1679007819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679007819 |
Entity Type | Organization |
Organization Name | UTAH PODIATRY GROUP LLC |
Other Organization Name | ADVANCED FOOT AND ANKLE CENTER |
Practice Address |
900 Round Valley Dr Ste 120 Park City UT 84060-7552 |
Mailing Address |
Po Box 30015 Salt Lake City UT 84130-0015 |
Practice Telephone | 8013732499 |
Practice Fax Number | 8013735200 |
Mailing Telephone | 8014516060 |
Mailing Fax Number | 8017979154 |
Enumeration Date | 2017-04-14 |
Last Update Date | 2020-04-21 |
Authorized Official Name | JARED DEE MCPHIE (DPM) |
Authorized Official Telephone | 8013732499 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
95424340501 | UT | Podiatric Medicine & Surgery Service Providers |
Other Name | Type Code |
---|---|
Advanced Foot And Ankle Center | Doing Business As Name - Organization |
Street Address |
900 ROUND VALLEY DR STE 120 |
City | PARK CITY |
State | UT |
Zip Code | 84060-7552 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366439127 | Vanessa Marie Hart | Surgery | 900 Round Valley Dr, Ste. 200, Park City, UT 84060-7552 | 2005-10-05 |
1194249201 | Molly Telian | Physical Therapist | 900 Round Valley Dr, Park City, UT 84060-7552 | 2017-07-31 |
1841725140 | Megan Elyse Devine | Specialist/Technologist | 900 Round Valley Dr, Suite 100, Park City, UT 84060-7552 | 2017-04-24 |
1992253199 | Nicole Lee Thorsen | Advanced Practice Midwife | 900 Round Valley Dr, Park City, UT 84060-7552 | 2016-09-15 |
1093182230 | Ashley Quadros | Dietitian, Registered | 900 Round Valley Dr, Park City, UT 84060-7552 | 2015-08-24 |
1275909418 | Charles Dupaix | Physician Assistant | 900 Round Valley Dr, Suite 100, Park City, UT 84060-7552 | 2015-08-11 |
1578971578 | Allison Merrell | Occupational Therapist | 900 Round Valley Dr, Park City, UT 84060-7552 | 2014-07-23 |
1932516903 | Rebecca Claire Cannon | Dietitian, Registered | 900 Round Valley Dr, Park City, UT 84060-7552 | 2014-07-22 |
1609203660 | Andrew H Avery | Physician Assistant | 900 Round Valley Dr, Park City, UT 84060-7552 | 2013-10-03 |
1629313465 | Nicholas J Williams | Specialist/Technologist | 900 Round Valley Dr, Suite 100, Park City, UT 84060-7552 | 2012-12-05 |
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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 | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841582467 | Family Foot and Ankle Surgeons of Illinois, LLC | Podiatrist | 401 Greenleaf St, Park City, IL 60085-5744 | 2011-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033721303 | Stride Foot and Ankle Pllc | Podiatrist | 1365 W 1250 S Ste 101, Orem, UT 84058-2303 | 2020-08-18 |
1700369014 | Utah Podiatry Group PC | Podiatrist | 6321 S Redwood Rd Ste 102, Taylorsville, UT 84123-6799 | 2018-09-12 |
1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
1447773122 | Apex Foot and Ankle Institute | Podiatrist | 882 N Main St # 2, Richfield, UT 84701-1840 | 2017-07-25 |
1902328644 | Weston Charles Packard | Podiatrist | 1561 W 7000 S Ste 201, West Jordan, UT 84084-3556 | 2017-07-14 |
1053844753 | Elite Ankle and Foot Pllc | Podiatrist | 39 E Center Street, Gunnison, UT 84634 | 2017-04-10 |
1811341621 | Victor Kent Myers | Podiatrist | 754 S Main St Ste 3, St George, UT 84770-5505 | 2016-04-18 |
1598119463 | Landon Cameron | Podiatrist | 1490 E Foremaster Dr Ste 250, St George, UT 84790-4501 | 2016-04-18 |
1417338161 | Adam Bowen Wood | Podiatrist | 1248 E 90 N Ste 101, American Fork, UT 84003-2954 | 2015-06-17 |
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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.