Mara Rachel Rabin Discoe, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

12945855-1206 Issued in UT

Practice address

2200 Park Ave Ste 100
Park City, UT 84060-7246

Phone

(435) 615-8822

Fax

(435) 615-8823

NPI assigned

Jul 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mara Rachel Rabin Discoe Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mara.discoe.1@27548.direct.athenahealth.com

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.

• Gregory Iverson Family Medicine PLLC

  • Rural Health Clinic/Center
  • Coalville, UT
  • NPI 1720379936
  Medicare reassignment
• Gregory Iverson Family Medicine, PLLC

  • Rural Health Clinic/Center
  • Kamas, UT
  • NPI 1043501257
  NPD

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1699401943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PARK AVE STE 100",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607246",
            "telephone_number": "435-615-8822",
            "fax_number": "435-615-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PARK AVE STE 100",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607246",
            "telephone_number": "435-615-8822",
            "fax_number": "435-615-8823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6360 S 3000 E Ste 210",
            "address_purpose": "LOCATION",
            "city": "Cottonwood Heights",
            "state": "UT",
            "postal_code": "841216972",
            "country_code": "US",
            "telephone_number": "801-770-1657",
            "fax_number": "801-869-1987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISCOE",
        "first_name": "MARA",
        "middle_name": "RACHEL RABIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "12945855-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARA",
            "last_name": "DISCOE",
            "middle_name": "RACHEL RABIN",
            "credential": "MARA DISCOE, PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Elizabeth A Dosher, CSW

• Physician Assistant in Park City, UT
• Providers in Park City, 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 20, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.