DR. MOHAMMAD M. DBEISI I (NPI# 1689686370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689686370 |
| Entity Type | Individual |
| Full Name | DR. MOHAMMAD M. DBEISI I |
| Credential | MD |
| Practice Address |
900 Round Valley Dr Park City UT 84060 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8014421702 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2018-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 044334 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | NPI | 1689686370 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 64 Robbins St, Waterbury, CT 067082613 | 2035736295 | 2035737613 |
| Street Address |
900 ROUND VALLEY DR |
| City | PARK CITY |
| State | UT |
| Zip Code | 84060 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922345875 | David Louis Pomeranz | Emergency Medicine | 6874 Saddle Ct, Park City, UT 84098-5374 | 2013-01-12 |
| 1083679989 | Lisa M Anderson | Emergency Medicine | 1600 Snow Creek Dr, Park City, UT 84060-7372 | 2006-04-20 |
| 1225001282 | Michael Andrew Rogowski | Emergency Medicine | 1750 Sidewinder Dr, Park City, UT 84060-7570 | 2006-02-09 |
| 1285038984 | University of Utah Community Physicians Group | Emergency Medicine | 1493 Lowell Ave, Park City, UT 84060-5116 | 2014-10-09 |
| 1861757478 | Ihc Health Services Inc | Emergency Medicine | 1750 Sidewinder Dr, Park City, UT 84060-7570 | 2012-07-10 |
| 1588953160 | David Rick Sutherland | Emergency Medicine | 900 Round Valley Dr, Park City, UT 84060-7552 | 2011-04-04 |
| 1790001915 | William Province IIi | Emergency Medicine | 900 Round Valley Dr, Park City, UT 84060-7552 | 2010-04-13 |
| 1205030038 | Bradley Cris Cowley | Emergency Medicine | 900 Round Valley Dr, Park City, UT 84060-7552 | 2007-06-14 |
| 1083795256 | University Health Care Park City Mountain Resort Urgent Care | Emergency Medicine | 1493 Lowell Ave, Park City, UT 84060 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414216 | True North Health Navigation LLC | Emergency Medicine | 136 E South Temple Ste 1400, Salt Lake City, UT 84111-1143 | 2020-03-30 |
| 1609377589 | David A. Burton | Emergency Medicine | 1040 S Oak Hills Way, Salt Lake City, UT 84108-2024 | 2018-02-26 |
| 1184131922 | Wally Lee | Emergency Medicine | 3539 E Brighton Point Dr, Salt Lake City, UT 84121-5510 | 2018-01-02 |
| 1295240026 | Allison Mcphee | Emergency Medicine | 1021 E 3300 S, Salt Lake City, UT 84106-2142 | 2017-12-01 |
| 1104351592 | David Crockett | Emergency Medicine | University of Utah School of Medicine 30 N 1900 E 1c026, Salt Lake City, UT 84132-2147 | 2017-04-24 |
| 1003287970 | Marlene Hyndman | Emergency Medicine | 3024 S 600 W, Bountiful, UT 84010-8204 | 2015-10-16 |
| 1912384637 | Kyle Earl Nielsen | Emergency Medicine | 2292 N 1430 E, Provo, UT 84604 | 2015-05-01 |
| 1699152538 | Jinghui Li | Emergency Medicine | 2675 W Taylorsville Blvd, Taylorsville, UT 84129-2208 | 2015-04-29 |
| 1699160598 | Sean Damian Slack | Emergency Medicine | Division of Emergency Medicine School Of, 30 N 1900 E 1c026, Salt Lake City, UT 84132-0001 | 2015-03-30 |
| 1801201496 | Dwight Burdick | Emergency Medicine | 2665 E 2100 S, Salt Lake City, UT 84109-1372 | 2014-06-23 |
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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.