Steven Mark Kern (NPI# 1104814102, PAC ID# 2163413444) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1104814102 |
PAC ID by PECOS | 2163413444 |
Professional Enrollment ID | I20051228000749 |
Full Name | Steven Mark Kern |
Organization Legal Name | PARK CITY DERMATOLOGY. CO |
Address |
1790 Sun Peak Dr Suite A103 Park City UT 84098-6625 |
Phone Number | 4356581013 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
Graduation Year | 1985 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 4284625567 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1790 Sun Peak Dr, Suite A103, Park City, UT 84098-6625 | 4356581013 | PARK CITY DERMATOLOGY. CO |
Organization Legal Name | PARK CITY DERMATOLOGY. CO |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sarah L Forsey | Physician Assistant | Park City Dermatology. Co | 1790 Sun Peak Dr, Suite A103, Park City, UT 84098-6625 |
Street Address |
1790 SUN PEAK DR SUITE A103 |
City | PARK CITY |
State | UT |
Zip | 84098-6625 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sarah L Forsey | Physician Assistant | Park City Dermatology. Co | 1790 Sun Peak Dr, Suite A103, Park City, UT 84098-6625 |
Chad A Lundstrom | Chiropractic | 1790 Sun Peak Dr, A201, Park City, UT 84098-6647 | |
Kim E Scott | Internal Medicine | 1790 Sun Peak Dr, Suite A101, Park City, UT 84098-6624 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jill Lynn Robertson | Optometry | Mountain Valley Eye Institute PC | 2700 Homestead Rd, Suite 30, Park City, UT 84098-4874 |
Douglas S Lister | Podiatry | 2720 Homestead Rd, Suite 50, Park City, UT 84098-4885 | |
John M Arias | Diagnostic Radiology | Marion General Radiology Inc | 1056 Station Loop Rd, Park City, UT 84098-5426 |
Robert S Briggs | Optometry | Park City Vision Center, Inc. | 6584 N Creekside Lane, Suite 150, Park City, UT 84098-5532 |
Brandon Riley Judd | Physical Therapy | Wasatch Physical Therapy and Sports Medicine At Park City | 597 Pkwy Dr, Suite C, Park City, UT 84098-5733 |
Jennifer L Maki | Physical Therapy | Wasatch Physical Therapy and Sports Medicine At Park City | 597 Pkwy Dr, Suite C, Park City, UT 84098-5733 |
Lauren J Ziaks | Physical Therapy | Wasatch Physical Therapy and Sports Medicine At Park City | 597 Pkwy Dr, Suite C, Park City, UT 84098-5733 |
Derek L Frieden | Interventional Pain Management | Southwest Spine and Pain Care Specialists LLC | 1122 Ctr Dr, Suite D 350, Park City, UT 84098-5780 |
Andrew P Talbott | Pain Management | Southwest Spine and Pain Care Specialists LLC | 1122 Ctr Dr, Suite D 350, Park City, UT 84098-5780 |
John R Taylor | Psychologist, Clinical | 2750 Rasmussen Rd, Suite 105, Park City, UT 84098-5781 | |
Find all physicians in zip 84098 |
City | PARK CITY |
Zip Code | 84098 |
Specialty | DERMATOLOGY |
City + Specialty | PARK CITY + DERMATOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.