Emerald Medical Practice PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EMERALD MEDICAL PRACTICE PC

Practice address

1743 S Sidewinder Drive Unit 114
Park City, UT 84060

Phone

(307) 840-9834

Fax

(833) 450-0933

NPI assigned

Feb 4, 2025

Organization subpart

No

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

Authorized official

Name

Ashwin Muralidharan

Title

President

Phone

(307) 840-9834

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1750195483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 S SIDEWINDER DRIVE",
            "address_2": "#114",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "84060",
            "telephone_number": "307-840-9834",
            "fax_number": "833-450-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 S SIDEWINDER DRIVE UNIT 114",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "84060",
            "telephone_number": "307-840-9834",
            "fax_number": "833-450-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "MURALIDHARAN",
        "authorized_official_first_name": "ASHWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-840-9834"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellsworth Foot and Ankle
• Laura Ely, OTR/L
• Emerald Care, LLC
• Emerald City Medical Practice PA
• Emerald Medical Practice PC
• Emily Faber LCSW PLLC
• Rebecca Emily Ennen, FNP-BC
• Chris Epperson, OMT
• Abby Evans
• Robert Evers

• Specialist in Park City, UT
• Providers in Park City, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.