Anodyne of Park City LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ANODYNE OF PARK CITY LLC

Practice address

1790 Sun Peak Dr Ste A102
Park City, UT 84098-6651

Phone

(435) 640-1353

Fax

(435) 655-2984

NPI assigned

Dec 20, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Greg Simons

Title

Ceo

Phone

(435) 640-1353

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1043970866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 SUN PEAK DR STE A102",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986651",
            "telephone_number": "435-640-1353",
            "fax_number": "435-655-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 SUN PEAK DR STE A102",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986651",
            "telephone_number": "435-640-1353",
            "fax_number": "435-655-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANODYNE OF PARK CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-640-1353"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ileana Marie Anderson, LCSW
• Kensington Anderson, PA
• Lisa Stephens Anderson, SLP, MS, CCC
• Michael B Anderson, MS, ATC
• Brett Davin Andrada, COTA
• Alexa Nicole Anthony, NURSE PRACTITIONER
• Roland Curtis Anthony, RCIS
• Apex Concierge Medicine LLC
• John Manuel Arias, MD
• Jennifer Armstrong Solomon

• General Practice Physician in Park City, UT
• Providers in Park City, UT by specialty
• General Practice Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.