CYNTHIA C BERWALD (NPI# 1033117874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033117874 |
| Entity Type | Individual |
| Full Name | CYNTHIA C BERWALD |
| Credential | PA |
| Practice Address |
2720 Homestead Rd Suite 100 Park City UT 84098-4881 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 4359409400 |
| Mailing Telephone | 4359409400 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2016-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4948359-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2720 HOMESTEAD RD SUITE 100 |
| City | PARK CITY |
| State | UT |
| Zip Code | 84098-4881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063646917 | Ihc Health Services Inc | Clinic/Center | 2720 Homestead Rd, Ste 100, Park City, UT 84098-4881 | 2009-05-06 |
| 1184672511 | Brian J Rush | Family Medicine | 2720 Homestead Rd, Ste 100, Park City, UT 84098-4881 | 2006-05-05 |
| 1477501252 | Julie A Dolan | Family Medicine | 2720 Homestead Rd, Ste 100, Park City, UT 84098-4881 | 2006-05-04 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844218 | Rebecca E Escoto | Physician Assistant | 3064 Creek Rd, Park City, UT 84098-4843 | 2020-06-03 |
| 1841710654 | Rachelle Flinn | Physician Assistant | 650 Round Valley Dr, Park City, UT 84060-7571 | 2017-06-22 |
| 1144777418 | Kevin Bryan James Huntington | Physician Assistant | 1784 Uinta Way Unit E2, Park City, UT 84098-7685 | 2016-09-05 |
| 1740453703 | Melinda S Roalstad | Physician Assistant | 1526 West Ute Blvd Ste 110, Park City, UT 84098 | 2008-04-10 |
| 1649379413 | Eileen Burke-price | Physician Assistant | 1665 Bonanza Drive, Park City, UT 84060 | 2006-09-21 |
| 1851406011 | Lindsey Elizabeth Marshall | Physician Assistant | 2200 Park Ave. Bldg. D Ste. 100, Park City, UT 84060 | 2006-08-20 |
| 1891343950 | Logan Kupitz | Physician Assistant | 1750 Sidewinder Dr, Park City, UT 84060-7570 | 2019-08-30 |
| 1518519859 | Allison E Mayzel | Physician Assistant | 1784 Uinta Way Unit E2, Park City, UT 84098-7685 | 2019-07-16 |
| 1124589262 | Natalie Marie Plascencia | Physician Assistant | 900 Round Valley Dr Ste 100, Park City, UT 84060-7552 | 2019-03-30 |
| 1912407180 | Matthew Paul | Physician Assistant | 1784 Uinta Way Unit E2, Park City, UT 84098-7685 | 2018-02-14 |
| 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.