Park City Podiatry LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PARK CITY PODIATRY LLC

Doing business as

Salt Lake City Podiatry

Practice address

1220 E 3900 S Ste 4D
Salt Lake City, UT 84124-1383

Phone

(801) 269-9939

Fax

(801) 269-9949

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Frederic Zachary Oddone, DPMNPI 1881326981

Title

Owner

Phone

(801) 269-9939

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Salt Lake City Podiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

Practitioners 2

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

• Frederic Zachary Oddone, DPM

  • Foot & Ankle Surgery Podiatrist
  • Salt Lake City, UT
  • NPI 1881326981
  Medicare reassignment NPD Authorized official
• Mark E Moritz, DPM

  • Podiatrist
  • Salt Lake City, UT
  • NPI 1245297688
  NPD

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1437116266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840650404",
            "telephone_number": "801-619-2168",
            "fax_number": "877-428-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S STE 4D",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241383",
            "telephone_number": "801-269-9939",
            "fax_number": "801-269-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CITY PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "ODDONE",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-269-9939",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881326981",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245297688",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salt Lake City Podiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salt Lake City Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jinal Harshil Parikh
• Shannon Marie Parisi, D.C.
• Zoe Alexandra Parisian-Jeppesen, MD
• Tamara Ann Parisot
• Sherveen Nick Parivash, MD
• Park Terrace Anesthesia Associates LLC
• Park Terrace Surgical Associates LLC
• Park Terrace Surgical Center LLC
• Albert H. Park, MD
• Alice Park

• Podiatrist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.