Steven Mark Kern, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G58292 Issued in CA

Practice address

1790 Sun Peak Dr Ste A103
Park City, UT 84098

Phone

(435) 658-1013

Fax

(435) 658-3513

NPI assigned

Oct 12, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Southern California Keck School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Karen Stolman MD PCGroup PAC ID 5890197933, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Karen Stolman MD PC

  dba Park City Dermatology, Associates

  • Dermatology Physician
  • Park City, UT
  • NPI 1235705716

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Park City Dermatology. Co

  dba Park City Dermatology

  • Dermatology Physician
  • Park City, UT
  • NPI 1316095722
  Authorized official Same address or phone
• J. Robert West, M.D., Inc

  dba West Dermatology

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1114567997

  Single Specialty

  NPD (past)
• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1104814102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 CORPORATE CIR",
            "address_2": "STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747759",
            "telephone_number": "702-360-2763",
            "fax_number": "949-783-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 SUN PEAK DR STE A103",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "84098",
            "telephone_number": "435-658-1013",
            "fax_number": "435-658-3513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Homestead Rd",
            "address_2": "#30",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "84098",
            "country_code": "US",
            "telephone_number": "435-658-1013",
            "fax_number": "435-658-3513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 N Main St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Heber City",
            "state": "UT",
            "postal_code": "840321671",
            "country_code": "US",
            "telephone_number": "435-658-1013",
            "fax_number": "435-658-3513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20950 N Tatum Blvd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850504256",
            "country_code": "US",
            "telephone_number": "480-502-6651",
            "fax_number": "480-513-8253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 S Buffalo Dr Ste 170",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891178329",
            "country_code": "US",
            "telephone_number": "702-255-7924",
            "fax_number": "702-242-9949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Plaza Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934546954",
            "country_code": "US",
            "telephone_number": "805-922-3632",
            "fax_number": "805-922-3522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "330766827",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NV",
            "license": "18908",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "UT",
            "license": "3673151205",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "22469",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G58292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Kazemi, OTD, OTR/L
• Lucas Ryan Keck, PA-C
• Diana M Kelly
• Kwinten Kemp
• Emily Anne Keone, CCM
• Kim Scott MD PLC (Kim E Scott, MD)
• Simon Scott Kimche, DDS
• Emily Kirkpatrick, DVM
• R Steven Klatt
• Marilyn Jean Klein, FNPC

• Dermatology Physician in Park City, UT
• Providers in Park City, UT by specialty
• Dermatology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.