Individual provider Active NPI

Vanessa Marie Hart, MD

  • Surgery Physician
  • Park City, UT
National Provider Identifier
1366439127
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7355233-1205 Issued in UT
Practice address
6443 Business Park Loop Rd
Park City, UT 84098-6272
Phone
(435) 200-9075
NPI assigned
Oct 5, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 7355233-1205 UT Primary

Addresses

Primary practice location

6443 Business Park Loop Rd
Park City, UT 84098-6272

Mailing address

6443 Business Park Loop Rd
Park City, UT 84098-6272
Phone (435) 901-4334

Other practice location 1

6443 Business Park Loop Rd
Park City, UT 84098-6272
Phone (435) 901-4334

Other identifiers 1

IdentifierTypeStateIssuer
267795400MedicaidFL

Other names 1

  • Vanessa Hart Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7355233-1205UTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Surgical Specialists, LLC Surgery Current Accepting new patients

Locations

960 7th Ave N
St Petersburg, FL 33705
Phone (727) 821-8101

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.694

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1366439127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6443 BUSINESS PARK LOOP RD",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986272",
            "telephone_number": "435-901-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6443 BUSINESS PARK LOOP RD",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986272",
            "telephone_number": "435-200-9075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6443 Business Park Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840986272",
            "country_code": "US",
            "telephone_number": "435-901-4334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "7355233-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267795400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "HART",
            "credential": "MD, FACS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 10, 2024; 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.