Individual provider Active NPI

Karen R Stolman, MD

  • Dermatology Physician
  • Park City, UT
National Provider Identifier
1700997699
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
52163981205 Issued in UT
Practice address
1790 Sun Peak Dr Ste A103
Park City, UT 84098-6625
Phone
(435) 658-1013
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 52163981205 UT Primary

Addresses

Primary practice location

1790 Sun Peak Dr Ste A103
Park City, UT 84098-6625

Mailing address

PO Box 575
Helena, MT 59624-0575
Phone (406) 439-0607

Other practice location 1

150 N Main St Ste 202
Heber City, UT 84032-1671
Phone (435) 658-1013

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031120000792 UT Practitioner - Dermatology 9335043421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karen Stolman MD PCGroup PAC ID 5890197933, 4 clinicians

Practice addresses (Care Compare)

1790 Sun Peak Dr
Suite A103
Park City, UT 84098-6625
Phone (435) 658-1013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision35
Removal of skin lesions671
Removal or shaving of skin growth1-10
Skin biopsy117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52163981205UTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Division University of Utah Medical Center Dermatology CurrentSince Mar 1, 2015 Accepting new patients
Karen Stolman MD PC Dermatology CurrentSince Jun 1, 2021 Accepting new patients
U-U Pediatric Dermatology PastSince May 24, 2020 Accepting new patients

Locations

150 N Main St
Ste 202
Heber City, UT 84032
Phone (435) 658-1013

1790 Sun Peak Dr
Ste A103
Park City, UT 84098
Phone (435) 658-1013

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: kstolman@pcderm.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1700997699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 575",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596240575",
            "telephone_number": "406-439-0607",
            "fax_number": "406-443-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 SUN PEAK DR STE A103",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986625",
            "telephone_number": "435-658-1013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N Main St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Heber City",
            "state": "UT",
            "postal_code": "840321671",
            "country_code": "US",
            "telephone_number": "435-658-1013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLMAN",
        "first_name": "KAREN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "52163981205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

Verify at the official NPI Registry.