DR. MICHAEL HAWKES METCALF (NPI# 1750333092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750333092 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL HAWKES METCALF |
| Credential | M.D. |
| Practice Address |
1820 Sidewinder Dr Park City UT 84060-7492 |
| Practice Telephone | 4356556600 |
| Practice Fax Number | 4356552388 |
| Mailing Telephone | 4356556600 |
| Mailing Fax Number | 4356552388 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
4956934-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | SELECT HEALTH PLANS | 49569348901001 | 01 |
| UT | PUBLIC EMPLOYEES HEALTH | 68380 | 01 |
| UT | UNITED HEALTH CARE | 09-00368 | 01 |
| UT | EDUCATORS MUTUAL | 841433992MM2 | 01 |
| UT | MOLINA ADVANTAGE | TPRA09041 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669919205 | Michael Metcalf | Behavior Technician | 3470 Josephine Lane, Mason, MI 48854 | 2017-01-20 |
| 1144390840 | Michael J Metcalf | Family Medicine | 626 N Mullan Rd, Spokane Valley, WA 99206-3861 | 2006-11-09 |
| 1588617245 | Michael D Metcalf | Family Medicine | 919 Northland Dr, Princeton, MN 55371-2172 | 2006-05-17 |
| 1619946472 | Michael R. Metcalf | Internal Medicine | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2006-03-15 |
| Street Address |
1820 SIDEWINDER DR |
| City | PARK CITY |
| State | UT |
| Zip Code | 84060-7492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275514499 | Charles C Lind | Orthopaedic Surgery | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2005-11-07 |
| 1689845364 | Kyle David Wilkens | Physician Assistant | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2008-03-20 |
| 1487830287 | Norma Elizabeth Johnson | Specialist/Technologist | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2008-01-11 |
| 1538355284 | Ihc Health Services, Inc. | Clinic/Center | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2007-09-17 |
| 1730197252 | Troy Johnson | Physician Assistant | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2006-08-03 |
| 1710995386 | R Steven Klatt | Physician Assistant | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2006-08-03 |
| 1720096324 | Steven Pearmain | Physician Assistant | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2006-08-03 |
| 1598708182 | Sandra Jolene Lehman | Optometrist | 1820 Sidewinder Dr, Suite 101, Park City, UT 84060-7492 | 2006-06-13 |
| 1144273905 | Thomas D Rosenberg | Orthopaedic Surgery | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2006-05-19 |
| 1891747291 | Vernon J Cooley | Orthopaedic Surgery | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2006-05-16 |
| 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 | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922098334 | Eric A Heiden | Orthopaedic Surgery | 2200 Park Ave Bldg D, Park City, UT 84060-7246 | 2005-10-26 |
| 1386896652 | Heiden Orthopedics,llc | Orthopaedic Surgery | 2200 Park Ave, Bldg D, Suite 100, Park City, UT 84060-7246 | 2008-10-17 |
| 1811093867 | John Richard Raskind | Orthopaedic Surgery | 2200 Park Ave, Bldg. D - Suite 100, Park City, UT 84060-7246 | 2006-09-16 |
| 1649374216 | Rosenberg Cooley Metcalf Lc | Orthopaedic Surgery | 900 Round Valley Dr, Suite 100, Park City, UT 84060-7552 | 2006-09-12 |
| 1144273905 | Thomas D Rosenberg | Orthopaedic Surgery | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2006-05-19 |
| 1891747291 | Vernon J Cooley | Orthopaedic Surgery | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2006-05-16 |
| 1528040367 | Philip A Davidson | Orthopaedic Surgery | 2200 Park Ave Bldg D, Ste 100, Park City, UT 84060-7246 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811265044 | Lonnie Paulos Md PC | Orthopaedic Surgery | 324 East 10th Avenue, Ste 172, Salt Lake City, UT 84103-3184 | 2011-12-02 |
| 1477865491 | Ihc Health Services Inc | Orthopaedic Surgery | 1159 E 200 N Ste 100, American Fork, UT 84003-2053 | 2010-07-07 |
| 1558546739 | Mark A.rosen Md, LLC | Orthopaedic Surgery | 5911 Fashion Blvd., Suite 100, Murray, UT 84107 | 2008-01-07 |
| 1255422192 | Bruce E Thomas | Orthopaedic Surgery | 5957 Fashion Point Dr, Suite 101, Ogden, UT 84403-5180 | 2006-09-27 |
| 1487646998 | Robert B Bourne | Orthopaedic Surgery | 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275 | 2005-08-19 |
| 1992700330 | Leon E Paulos | Orthopaedic Surgery | 324 10th Ave, Suite 175, Salt Lake City, UT 84103-2853 | 2005-06-14 |
| 1366917577 | Kevin Dale Newbold | Orthopaedic Surgery | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2018-10-04 |
| 1588162283 | Alpine Management and Consulting | Orthopaedic Surgery | 2310 N 400 E Ste A, Logan, UT 84341-1796 | 2018-01-28 |
| 1083128730 | Kia Wilson | Orthopaedic Surgery | 375 S Chipeta Way, Salt Lake City, UT 84108-1260 | 2017-11-16 |
| 1154842607 | Ihc Health Services Inc | Orthopaedic Surgery | 201 W Layton Parkway, Layton, UT 84041 | 2017-07-05 |
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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.