PARK CITY MEDICAL CENTER (NPI# 1225389810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225389810 |
| Entity Type | Organization |
| Organization Name | PARK CITY MEDICAL CENTER |
| Other Organization Name | PARK CITY MEDICAL CENTER |
| Practice Address |
900 Round Valley Dr Park City UT 84060-7552 |
| Practice Telephone | 4356587275 |
| Practice Fax Number | 4356587276 |
| Mailing Telephone | 4356587275 |
| Mailing Fax Number | 4356587276 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |
| Authorized Official Name | REBECCA POND (PHARMACY DIRECTOR/PIC) |
| Authorized Official Telephone | 4356587280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
7287856-1704 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4612291 | 01 |
| Other Name | Type Code |
|---|---|
| Park City Medical Center | Doing Business As Name - Organization |
| Street Address |
900 ROUND VALLEY DR |
| City | PARK CITY |
| State | UT |
| Zip Code | 84060-7552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439127 | Vanessa Marie Hart | Surgery | 900 Round Valley Dr, Ste. 200, Park City, UT 84060-7552 | 2005-10-05 |
| 1194249201 | Molly Telian | Physical Therapist | 900 Round Valley Dr, Park City, UT 84060-7552 | 2017-07-31 |
| 1841725140 | Megan Elyse Devine | Specialist/Technologist | 900 Round Valley Dr, Suite 100, Park City, UT 84060-7552 | 2017-04-24 |
| 1679007819 | Utah Podiatry Group LLC | Podiatrist | 900 Round Valley Dr, Ste 120, Park City, UT 84060-7552 | 2017-04-14 |
| 1992253199 | Nicole Lee Thorsen | Advanced Practice Midwife | 900 Round Valley Dr, Park City, UT 84060-7552 | 2016-09-15 |
| 1093182230 | Ashley Quadros | Dietitian, Registered | 900 Round Valley Dr, Park City, UT 84060-7552 | 2015-08-24 |
| 1275909418 | Charles Dupaix | Physician Assistant | 900 Round Valley Dr, Suite 100, Park City, UT 84060-7552 | 2015-08-11 |
| 1578971578 | Allison Merrell | Occupational Therapist | 900 Round Valley Dr, Park City, UT 84060-7552 | 2014-07-23 |
| 1932516903 | Rebecca Claire Cannon | Dietitian, Registered | 900 Round Valley Dr, Park City, UT 84060-7552 | 2014-07-22 |
| 1609203660 | Andrew H Avery | Physician Assistant | 900 Round Valley Dr, Park City, UT 84060-7552 | 2013-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233920 | Livecare, Inc. | Nursing Care | 1830 Prospector Avenue, Park City, UT 84060 | 2020-04-02 |
| 1063904266 | Louise Knetzger Gallagher | Acupuncturist | 1107 Woodside Ave, Park City, UT 84060 | 2018-06-04 |
| 1942753421 | Valerie Alison Mey | Dietitian, Registered | 2985 Arabian Dr, Park City, UT 84060 | 2016-08-01 |
| 1659720936 | Vibrant Health PC | Anesthesiology | 1910 Prospector Ave Suite 302, Park City, UT 84060 | 2016-06-08 |
| 1538538657 | Pamela Hilbert | Dentist | 1830 Prospector Ave., Park City, UT 84060 | 2015-09-18 |
| 1174904924 | Julie Anna Bullen | Counselor | 2300 Monitor Drive, Park City, UT 84060 | 2015-06-17 |
| 1265825319 | William Gary Smith | Obstetrics & Gynecology | 2501 Creek Drive, Park City, UT 84060 | 2015-03-13 |
| 1497026330 | Earl Warren Stadler Jr. | Physical Medicine & Rehabilitation | 1500 Three Kings Drive Unit 31, Park City, UT 84060 | 2012-01-24 |
| 1538454541 | Belinda Duncan | Pharmacist | 2700 E Deer Valley Dr B105, Park City, UT 84060 | 2011-06-17 |
| 1184888315 | Cody Michael Calderwood | Dentist | 1600 Snow Creek Dr Ste A, Park City, UT 84060 | 2008-07-16 |
| Find all providers in zip 84060 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124084835 | Icare Pharmacy | Pharmacy | 109 W.gentile Street, Layton, UT 84041 | 2006-04-21 |
| 1013354067 | Mckay-dee Hospital | Pharmacy | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2013-05-31 |
| 1609110816 | Ihc Health Services, Inc. | Pharmacy | 1000 N Main St, Richfield, UT 84701-1857 | 2012-11-15 |
| 1154674653 | American Fork Hospital | Pharmacy | 170 N 1100 E, American Fork, UT 84003-2096 | 2012-10-22 |
| 1316218449 | Utah State Hospital Pharmacy | Pharmacy | 1300 East Center Street, Provo, UT 84606-3554 | 2012-01-20 |
| 1972870517 | State of Utah | Pharmacy | 14425 Bitterbrush Ln, Draper, UT 84020-9501 | 2011-11-28 |
| 1396935375 | Utah Valley Specialty Hospital (pharmacy) | Pharmacy | 306 River Bend Ln, Provo, UT 84604-5625 | 2007-07-26 |
| 1942425475 | Castleview Hospital | Pharmacy | 300 N Hospital Dr, Price, UT 84501-4218 | 2007-04-17 |
| 1922160043 | Moab Valley Healthcare, Inc. | Pharmacy | 450 Williams Way, Moab, UT 84532-2065 | 2006-12-14 |
| 1396835229 | Univ Ut Neurophsychiatric Inst | Pharmacy | 501 Chipeta Way, Salt Lake City, UT 84108-1222 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
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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.