Active NPI
Scott Jerome Zuckerman, M.D.
- Pediatric Emergency Medicine (Pediatrics) Physician
- Park City, UT
National Provider Identifier
1538498704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 4956100-1205
- Practice address
- 7381 Buckboard Dr
Park City, UT 84098-5310 - Phone
- (435) 901-0057
- NPI assigned
- Dec 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 4956100-1205 | UT | Primary |
Addresses
Primary practice location
7381 Buckboard Dr
Park City, UT 84098-5310
Mailing address
7381 Buckboard Dr
Park City, UT 84098-5310
Phone (435) 901-0057
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4956100-1205 | UT | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260921600000",
"number": "1538498704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7381 BUCKBOARD DR",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840985310",
"telephone_number": "435-901-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7381 BUCKBOARD DR",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840985310",
"telephone_number": "435-901-0057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKERMAN",
"first_name": "SCOTT",
"middle_name": "JEROME",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-16",
"last_updated": "2009-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "UT",
"license": "4956100-1205",
"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 Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.