NPIMap

Organization Active NPI

Stat-MD I

  • Primary Care Clinic/Center
  • Park City, UT
National Provider Identifier
1164063277
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
STAT-MD I
Practice address
1784 Uinta Way Unit E2
Park City, UT 84098-7685
Phone
(435) 604-0160
Fax
(435) 731-8328
NPI assigned
Oct 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Authorized official

Name
Mr. Bryan Knepper
Title
Owner
Phone
(435) 604-0160

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1784 Uinta Way Unit E2
Park City, UT 84098-7685

Mailing address

PO Box 981630
Park City, UT 84098-1630
Phone (435) 604-0160

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.statmdurgentcare.com

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13853/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1164063277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 981630",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840981630",
            "telephone_number": "435-604-0160",
            "fax_number": "435-604-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 UINTA WAY UNIT E2",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987685",
            "telephone_number": "435-604-0160",
            "fax_number": "435-731-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT-MD I",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "KNEPPER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-604-0160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.statmdurgentcare.com",
            "affiliation": "N",
            "endpointDescription": "company url",
            "address_1": "1784 Uinta Way Unit E2",
            "city": "Park City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840987685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.