DR. STUART ELIOT WILLICK (NPI# 1720169915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720169915 |
| Entity Type | Individual |
| Full Name | DR. STUART ELIOT WILLICK |
| Credential | MD |
| Practice Address |
1493 Lowell Ave Park City UT 84060 |
| Mailing Address |
Po Box 58108 Salt Lake City UT 84158-0108 |
| Practice Telephone | 4356557970 |
| Mailing Telephone | 8015813998 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
371707-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 208100000X | Physical Medicine & Rehabilitation | 371707-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
1493 LOWELL AVE |
| City | PARK CITY |
| State | UT |
| Zip Code | 84060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306394929 | Ihc Health Services Inc | Internal Medicine | 1493 Lowell Ave, Park City, UT 84060-5116 | 2016-09-12 |
| 1285038984 | University of Utah Community Physicians Group | Emergency Medicine | 1493 Lowell Ave, Park City, UT 84060-5116 | 2014-10-09 |
| 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 |
|---|---|---|---|---|
| 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 | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811195191 | Freda Lynn Dreher | Physical Medicine & Rehabilitation | 900 Round Valley Dr Ste 200, Park City, UT 84060-7552 | 2007-07-06 |
| 1316150121 | Rhutav J Parikh | Physical Medicine & Rehabilitation | 401 Greenleaf Ave, Park City, IL 60085-5744 | 2007-05-08 |
| 1871622985 | Wayne L Stokes | Physical Medicine & Rehabilitation | 1743 Redstone Center Dr, Ste. 115, Park City, UT 84098-7929 | 2007-03-05 |
| 1265530182 | Xavier Francis Ng | Physical Medicine & Rehabilitation | 425 E 61st St N, Ste 2, Park City, KS 67219-1960 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053977769 | Michael Tobler | Physical Medicine & Rehabilitation | 6360 S 3000 E Ste 300, Salt Lake City, UT 84121-6926 | 2019-05-17 |
| 1891255071 | Nicholas E. Gavern | Physical Medicine & Rehabilitation | 30 N 1900 E Rm 1c301, Salt Lake City, UT 84132-0002 | 2019-03-22 |
| 1952874703 | Joshua Minori Do Pllc | Physical Medicine & Rehabilitation | 2232 E Vimont Ave, Salt Lake City, UT 84109-1741 | 2019-01-04 |
| 1003302548 | Kim Marie Mckinnon | Physical Medicine & Rehabilitation | 3898 W Innovation Dr, Riverton, UT 84065-6037 | 2018-07-09 |
| 1831681923 | Davis Timpson | Physical Medicine & Rehabilitation | 6360 S 3000 E # 150, Cottonwood Heights, UT 84121-6923 | 2018-06-04 |
| 1487158960 | Marc A. Caragea | Physical Medicine & Rehabilitation | Dept of Pm&r 30 N 1900 E 1c301, Salt Lake City, UT 84132-2119 | 2018-03-20 |
| 1417465014 | Lepont Utah Medical Group | Physical Medicine & Rehabilitation | 1015 E 100 N, Logan, UT 84321-4873 | 2018-01-17 |
| 1518482546 | Alexandria Straup | Physical Medicine & Rehabilitation | 1868 W 9800 S # 200, South Jordan, UT 84095-4713 | 2017-08-10 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1619327939 | Joseph C Fyans PC | Physical Medicine & Rehabilitation | 5064 N Ravencrest Ln, Lehi, UT 84043-7725 | 2016-06-17 |
| 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.