UNIVERSITY OF UTAH HOSPITALS AND CLINICS (NPI# 1770749806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770749806 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
| Other Organization Name | UUHC REDSTONE CLINIC |
| Practice Address |
1743 Redstone Center Dr Ste. 115 Park City UT 84098-7929 |
| Mailing Address |
Po Box 510708 Salt Lake City UT 84151-0708 |
| Practice Telephone | 4356589200 |
| Mailing Telephone | 8015876303 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |
| Authorized Official Name | DR. SUSAN A TERRY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8015876307 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UUHC Redstone Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649436304 | University of Utah Hospitals and Clinics | Optometrist | 145 W University Pkwy, Orem, UT 84058-7316 | 2008-08-01 |
| 1629234752 | University of Utah Hospitals and Clinics | Optometrist | 220 Millpond, Ste. 100, Stansbury Park, UT 84074-9745 | 2008-07-29 |
| 1235395377 | University of Utah Hospitals and Clinics | Optometrist | 1492 W Antelope Dr, Ste. 150, Layton, UT 84041-1139 | 2008-07-29 |
| 1558527697 | University of Utah Hospitals and Clinics | Optometrist | 7495 S State St, Midvale, UT 84047-2013 | 2008-07-29 |
| 1801051974 | University of Utah Hospitals and Clinics | Optometrist | 3730 W 4700 S, West Valley City, UT 84118-3457 | 2008-07-28 |
| 1336304419 | University of Utah Hospitals and Clinics | Optometrist | 5126 W Daybreak Pkwy, South Jordan, UT 84095-5994 | 2008-07-28 |
| 1982642252 | University of Utah Hospitals and Clinics | Optometrist | 1525 W 2100 S, Salt Lake City, UT 84119-1401 | 2006-06-02 |
| 1811941438 | University of Utah Hospitals and Clinics | Orthopaedic Surgery | 1525 W 2100 S, Salt Lake City, UT 84119-1401 | 2006-05-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF UTAH HOSPITALS AND CLINICS | 50 North Medical Dr, Salt Lake City, UT 84132-0001 |
| Street Address |
1743 REDSTONE CENTER DR STE. 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 |
| 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 |
| 1538109715 | Sandra Lynn Vanleuven | Family Medicine | 1743 Redstone Center Dr, Suite 115, Park City, UT 84098-7929 | 2006-06-07 |
| Find all providers in the same location | ||||
| 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 | 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.