Active NPI
Ghanshyam Pribdhas Massand, M.D.
- Orthopaedic Surgery Physician
- Park City, UT
National Provider Identifier
1740245604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 6150961-1205
- Practice address
- 6531 North Landmark Drive
Suite E
Park City, UT 84098 - Phone
- (435) 630-3329
- Fax
- (435) 655-8269
- NPI assigned
- Apr 20, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 6150961-1205 | UT | Primary |
Addresses
Primary practice location
6531 North Landmark Drive
Suite E
Park City, UT 84098
Mailing address
PO Box 981147
Park City, UT 84098-1147
Phone (435) 630-3329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740245604 | Medicaid | UT |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashley Valley Physician Practice LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Ashley Valley Physician Practice, LLC | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Vernal, UT
- NPI 1457195034
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Vernal, UT
- NPI 1740482025
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1740245604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 981147",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840981147",
"telephone_number": "435-630-3329",
"fax_number": "435-655-8269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6531 NORTH LANDMARK DRIVE",
"address_2": "SUITE E",
"city": "PARK CITY",
"state": "UT",
"postal_code": "84098",
"telephone_number": "435-630-3329",
"fax_number": "435-655-8269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSAND",
"first_name": "GHANSHYAM",
"middle_name": "PRIBDHAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "UT",
"license": "6150961-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740245604",
"state": "UT"
}
],
"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 May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.