Organization Active NPI

Park City Gynecology, LLC

  • Obstetrics & Gynecology Physician
  • Park City, UT
National Provider Identifier
1376795989
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4894125-1204 Issued in UT
Legal business name
PARK CITY GYNECOLOGY, LLC
Practice address
1441 Ute Blvd
Suite 160
Park City, UT 84098-7630
Phone
(435) 214-5335
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Authorized official

Name
Dr. Stephanie M Singer, D.O.NPI 1184630071
Title
Manager
Phone
(435) 214-5335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 4894125-1204 UT Primary

Addresses

Primary practice location

1441 Ute Blvd
Suite 160
Park City, UT 84098-7630

Mailing address

1441 Ute Blvd
Suite 160
Park City, UT 84098-7630
Phone (435) 214-5335

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D1088808Park City Gynecology1441 W Ute Blvd Suite 160, Park City, UT 84098Certificate of waiverSep 3, 2026

National Provider Directory

National Provider Directory

Locations

1441 Ute Blvd
Ste 160
Park City, UT 84098
Phone (435) 214-5335

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12042/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1376795989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 UTE BLVD",
            "address_2": "SUITE 160",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987630",
            "telephone_number": "435-214-5335",
            "fax_number": "435-214-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 UTE BLVD",
            "address_2": "SUITE 160",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987630",
            "telephone_number": "435-214-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CITY GYNECOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-214-5335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "4894125-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.