Michael Pestotnik (NPI# 1093178154, PAC ID# 2567753445) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1093178154 |
| PAC ID by PECOS | 2567753445 |
| Professional Enrollment ID | I20190522003270 |
| Full Name | Michael Pestotnik |
| Organization Legal Name | UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP |
| Address |
1743 W Redstone Ctr 115 Uuhc Redstone Center Park City UT 84098-7929 |
| Phone Number | 4356589200 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9739403569 |
| Number of Group Practice Members | 185 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460009 | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 1743 W Redstone Ctr, 115 Uuhc Redstone Center, Park City, UT 84098-7929 | 4356589200 | UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP |
| Organization Legal Name | UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP |
| Physicians | 187 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Lynn Currier Curran | Family Medicine | University of Utah Community Physicians Group | 1138 Wilmington Ave, University Sugarhouse Family Health, Salt Lake City, UT 84106-2819 |
| Rebecca C Abbey | Family Medicine | University of Utah Community Physicians Group | 3730 W 4700, Uuhc Westridge Center, West Valley, UT 84108 |
| Amanda Madrid | Physician Assistant | University of Utah Community Physicians Group | 220 Millpond, Suite 100, Stansbury Park, UT 84074-9760 |
| Wei Ting Chao | Physician Assistant | University of Utah Community Physicians Group | 555 Foothill Dr, Salt Lake City, UT 84112-1106 |
| Jocelyn Decker | Nurse Practitioner | University of Utah Community Physicians Group | 1525 W 2100, Salt Lake City, UT 84119-1401 |
| Kyle B Hilton | Physician Assistant | University of Utah Community Physicians Group | 145 W University Pkwy, Uuhc Parkway Center, Orem, UT 84058-7316 |
| Ryan T Rushton | Podiatry | University of Utah Community Physicians Group | 7495 S State St, Midvale, UT 84047-2013 |
| David G Owen | Family Medicine | University of Utah Community Physicians Group | 5126 W Daybreak Pkwy, Uuhc South Jordan Health Center, South Jordan, UT 84095-5994 |
| Hugh M Stoneburner | Internal Medicine | University of Utah Community Physicians Group | 1525 W 2100, Uuhc Redwood Center, Salt Lake City, UT 84119-1401 |
| Johanna Greenberg | Physician Assistant | University of Utah Community Physicians Group | 1138 Wilmington Ave, University Sugarhouse Family Health, Salt Lake City, UT 84106-2819 |
| Street Address |
1743 W REDSTONE CTR 115 UUHC REDSTONE CENTER |
| City | PARK CITY |
| State | UT |
| Zip | 84098-7929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa S Briley | Physician Assistant | University of Utah Community Physicians Group | 1743 W Redstone Ctr, 115 Uuhc Redstone Center, Park City, UT 84098-7929 |
| Robert L Speakman | Family Medicine | University of Utah Community Physicians Group | 1743 W Redstone Ctr, 115 Uuhc Redstone Center, Park City, UT 84098-7929 |
| Mary H Parsons | Internal Medicine | University of Utah Community Physicians Group | 1743 W Redstone Ctr, 115 Uuhc Redstone Center, Park City, UT 84098-7929 |
| Sandra L Van Leuven | Family Medicine | University of Utah Community Physicians Group | 1743 W Redstone Ctr, 115 Uuhc Redstone Center, Park City, UT 84098-7929 |
| Alessandra Zimmerman | Physician Assistant | University of Utah Community Physicians Group | 1743 W Redstone Ctr, 115 Uuhc Redstone Center, Park City, UT 84098-7929 |
| Timothy W Odell | Internal Medicine | University of Utah Community Physicians Group | 1743 W Redstone Ctr, 115 Uuhc Redstone Center, Park City, UT 84098-7929 |
| Cynthia Archer | Internal Medicine | University of Utah Community Physicians Group | 1743 W Redstone Ctr, 115 Uuhc Redstone Center, Park City, UT 84098-7929 |
| Allison E Kierstead | Internal Medicine | University of Utah Community Physicians Group | 1743 W Redstone Ctr, 115 Uuhc Redstone Center, Park City, UT 84098-7929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill Lynn Robertson | Optometry | Mountain Valley Eye Institute PC | 2700 Homestead Rd, Suite 30, Park City, UT 84098-4874 |
| Douglas S Lister | Podiatry | 2720 Homestead Rd, Suite 50, Park City, UT 84098-4885 | |
| John M Arias | Diagnostic Radiology | Marion General Radiology Inc | 1056 Station Loop Rd, Park City, UT 84098-5426 |
| Robert S Briggs | Optometry | Park City Vision Center, Inc. | 6584 N Creekside Lane, Suite 150, Park City, UT 84098-5532 |
| Brandon Riley Judd | Physical Therapy | Wasatch Physical Therapy and Sports Medicine At Park City | 597 Pkwy Dr, Suite C, Park City, UT 84098-5733 |
| Jennifer L Maki | Physical Therapy | Wasatch Physical Therapy and Sports Medicine At Park City | 597 Pkwy Dr, Suite C, Park City, UT 84098-5733 |
| Lauren J Ziaks | Physical Therapy | Wasatch Physical Therapy and Sports Medicine At Park City | 597 Pkwy Dr, Suite C, Park City, UT 84098-5733 |
| Derek L Frieden | Interventional Pain Management | Southwest Spine and Pain Care Specialists LLC | 1122 Ctr Dr, Suite D 350, Park City, UT 84098-5780 |
| Andrew P Talbott | Pain Management | Southwest Spine and Pain Care Specialists LLC | 1122 Ctr Dr, Suite D 350, Park City, UT 84098-5780 |
| John R Taylor | Psychologist, Clinical | 2750 Rasmussen Rd, Suite 105, Park City, UT 84098-5781 | |
| Find all physicians in zip 84098 | |||
| City | PARK CITY |
| Zip Code | 84098 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PARK CITY + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.