Douglas S Lister (NPI# 1295958312, PAC ID# 4284665100) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1295958312 |
| PAC ID by PECOS | 4284665100 |
| Professional Enrollment ID | I20081203000363 |
| Full Name | Douglas S Lister |
| Address |
2720 Homestead Rd Suite 50 Park City UT 84098-4885 |
| Phone Number | 4356040449 |
| Gender | M |
| Credential | DPM |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051325 | MENDOCINO COAST DISTRICT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 721 River Dr A B C, Fort Bragg, CA 95437-5403 | 7079614631 | MENDOCINO COAST HEALTH CARE DISTRICT |
| 721 River Dr A B C, N Coast Family, Fort Bragg, CA 95437-5403 | 7079614631 | MENDOCINO COAST HEALTH CARE DISTRICT |
| 2720 Homestead Rd, Suite 50, Park City, UT 84098-4885 | 4356040449 |
| Street Address |
2720 HOMESTEAD RD SUITE 50 |
| City | PARK CITY |
| State | UT |
| Zip | 84098-4885 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill Lynn Robertson | Optometry | Mountain Valley Eye Institute PC | 2700 Homestead Rd, Suite 30, Park City, UT 84098-4874 |
| 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 | |
| Elizabeth Ann Dosher | Clinical Social Worker | 5532 Lillehammer Ln, Suite 200, Park City, UT 84098-6079 | |
| Find all physicians in zip 84098 | |||
| City | PARK CITY |
| Zip Code | 84098 |
| Specialty | PODIATRY |
| City + Specialty | PARK CITY + PODIATRY |
Please comment or provide details below to improve the information on Douglas S Lister.
| 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.