DR. SCOTT JEROME ZUCKERMAN (NPI# 1538498704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538498704 |
| Entity Type | Individual |
| Full Name | DR. SCOTT JEROME ZUCKERMAN |
| Credential | M.D. |
| Practice Address |
7381 Buckboard Dr Park City UT 84098-5310 |
| Practice Telephone | 4359010057 |
| Mailing Telephone | 4359010057 |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2009-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
4956100-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386939932 | Scott Lawrence Zuckerman | Orthopaedic Surgery | 5141 Broadway, New York, NY 10034-1159 | 2011-06-11 |
| Street Address |
7381 BUCKBOARD DR |
| City | PARK CITY |
| State | UT |
| Zip Code | 84098-5310 |
| 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 | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366771917 | Ihc Health Services Inc | Pediatrics | 196 E Winchester St, Murray, UT 84107-7211 | 2009-12-10 |
| 1023545670 | Natalie Justine Tedford | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2017-05-15 |
| 1437513926 | University of Utah Pediatric Services | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-11 |
| 1538523675 | University of Utah Pediatric Acuity Care | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-05 |
| 1255795399 | University of Utah Pediatric Services | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-05 |
| 1811350325 | Jonathan Robert Eisenberg | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2016-04-01 |
| 1295121184 | Tiana Monostory | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2015-04-08 |
| 1568889541 | Cheryl Yang | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2014-03-27 |
| 1811230378 | Sydney Ryan | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2013-04-03 |
| 1245524651 | Pediatric Emergency Sedation Service | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2011-06-02 |
| 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.