Spenser Reed MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SPENSER REED MD PLLC

Practice address

1790 Sun Peak Dr Ste A101
Park City, UT 84098-6624

Phone

(435) 645-0800

Fax

(435) 647-3003

NPI assigned

Jun 10, 2022

Last updated

Jun 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Spenser Reed, MDNPI 1205398799

Title

Physician/Owner

Phone

(435) 513-6600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Spenser Reed, MD

  • Family Medicine Physician
  • Park City, UT
  • NPI 1205398799
  Medicare reassignment NPD Authorized official
• Kim S Pozil, M.D.

  • Internal Medicine Physician
  • Heber City, UT
  • NPI 1497712376
  Medicare reassignment NPD

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1659001931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 SUN PEAK DR STE A101",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986624",
            "telephone_number": "435-645-0800",
            "fax_number": "435-647-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 SUN PEAK DR STE A101",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986624",
            "telephone_number": "435-645-0800",
            "fax_number": "435-647-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENSER REED MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "SPENSER",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "435-513-6600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maelin Sorenson, PA-C
• Sari Ann Soutor Farhart, PH.D.
• Janice Marie Speicher, MS, LPC
• Greg Speziale
• Adriana Angela Sta Agueda
• Earl Warren Stadler Jr., M.D.
• Debra Lynn Stafsholt, PT
• Kelly Jean Stankiewicz, MD, FAAD

• Family Medicine Physician in Park City, UT
• Providers in Park City, UT by specialty
• Family Medicine Physician in Utah

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