Shaun Syphus

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

62 E Thrive Dr Ste 220
Saratoga Springs, UT 84045-5560

Phone

(435) 218-8185

NPI assigned

May 27, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utah Valley Dermatology PCGroup PAC ID 7113181355, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Utah Valley Dermatology PC

  • Dermatology Physician
  • Lehi, UT
  • NPI 1922368927
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1437898541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 E THRIVE DR STE 220",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E THRIVE DR STE 220",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455560",
            "telephone_number": "435-218-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYPHUS",
        "first_name": "SHAUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-27",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kent Stewart
• Elizabeth Stocking
• Stonehaven Dental - Saratoga Springs LLC
• Heather Stowell
• Neal Jarvis Sullivan, LMFT
• Ishaah Talker
• Janette Thanh Tam, M.A., CCC- SLP
• Task Rehab Services LLC (Saratoga Physical Therapy & Sports Medicine)
• Barbara Jane Taylor, SLP
• Taylor Denise Stephens Teerlink

• Physician Assistant in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.