Kelly Stankiewicz (NPI# 1598987307, PAC ID# 8820280803) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1598987307 |
| PAC ID by PECOS | 8820280803 |
| Professional Enrollment ID | I20170901000016 |
| Full Name | Kelly Stankiewicz |
| Address |
1526 Ute Blvd Suite 104 Park City UT 84098-7575 |
| Gender | F |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1526 Ute Blvd, Suite 104, Park City, UT 84098-7575 |
| Street Address |
1526 UTE BLVD SUITE 104 |
| City | PARK CITY |
| State | UT |
| Zip | 84098-7575 |
| 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 | DERMATOLOGY |
| City + Specialty | PARK CITY + DERMATOLOGY |
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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.