Active NPI
Jessica Stearns, D.O.
- Colon & Rectal Surgery Physician
- Cottonwood Heights, UT
National Provider Identifier
1538378922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 34.009849
- Practice address
- 6975 Union Park Ave
Suite 600 Office 679
Cottonwood Heights, UT 84047 - Phone
- (801) 382-9006
- NPI assigned
- May 22, 2007
- Last updated
- Mar 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101016806 | MI | |
| Colon & Rectal Surgery Physician | 208C00000X | 34.009849CTR | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Colon & Rectal Surgery Physician | 208C00000X | 34.009849 | OH | Primary |
Addresses
Primary practice location
6975 Union Park Ave
Suite 600 Office 679
Cottonwood Heights, UT 84047
Mailing address
6170 Mountain View Dr
Park City, UT 84098-6123
Phone (419) 610-3986
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Ohio University, College of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6170 Mountain View Dr
Park City, UT 84098-6123
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101016806 | MI | MD | Internal Medicine Physician |
| 34.009849CTR | OH | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JLP Ventures LLC | Current | Accepting new patients | |
| Consumer Health Advocacy, Inc. | Current | Accepting new patients | |
| Colorectal Specialists LLC | Colon & Rectal Surgery | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Cottonwood Heights, UT
- NPI 1154206662
-
dba Umbra Health Advocacy
- Community Health Worker
- Cambridge, MA
- NPI 1821889924
UT
-
- Colon & Rectal Surgery Physician
- Dublin, OH
- NPI 1871730580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1538378922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6170 MOUNTAIN VIEW DR",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840986123",
"telephone_number": "419-610-3986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6975 UNION PARK AVE",
"address_2": "SUITE 600 OFFICE 679",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "84047",
"telephone_number": "801-382-9006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEARNS",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2022-03-10",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101016806",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "OH",
"license": "34.009849CTR",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "OH",
"license": "34.009849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood Heights, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.