Active NPI
Karen R Stolman, MD
- Dermatology Physician
- Park City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 52163981205
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
1790 Sun Peak Dr
Suite A103
Park City, UT 84098-6625
Phone (435) 658-1013
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 35 |
| Removal of skin lesions | 671 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 117 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52163981205 | UT | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Division University of Utah Medical Center | Dermatology | Current | Accepting new patients |
| Karen Stolman MD PC | Dermatology | Current | Accepting new patients |
| U-U Pediatric Dermatology | Past | 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
- 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.
-
- Dermatology Physician
- Park City, UT
- NPI 1235705716
-
- Dermatology Physician
- Salt Lake City, UT
- NPI 1922096114
-
- Pediatric Dermatology Physician
- Salt Lake City, UT
- NPI 1235339193
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.