Active NPI
Justin Paul Parkinson, MD
- Urology Physician
- Bountiful, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 6185240-1205
- Practice address
- 1551 Renaissance Towne Dr
Suite 370
Bountiful, UT 84010-7667 - Phone
- (801) 965-3600
- NPI assigned
- Jul 26, 2006
- Last updated
- Mar 6, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 6185240-1205 | UT | Primary |
Addresses
Primary practice location
1551 Renaissance Towne Dr
Suite 370
Bountiful, UT 84010-7667
Mailing address
3725 W 4100 S
West Valley City, UT 84120-5530
Phone (801) 965-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851314066 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, WY, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1030 S Medical Dr
Brigham City, UT 84302-3119
Phone (208) 852-3662
1551 Renaissance Towne Dr
Suite 460
Bountiful, UT 84010-7672
Phone (385) 252-3337
164 S 5TH St
Montpelier, ID 83254-1557
Phone (208) 847-4359
196 Arrowhead Dr
Suite 8
Evanston, WY 82930-8752
Phone (307) 789-1390
300 S 3Rd
Soda Springs, ID 83276-1559
Phone 20854733417503
47 N 1St
Preston, ID 83263-1325
Phone (208) 852-2900
Hospital & facility affiliations
- Franklin County Medical Center
- Bear Lake Memorial Hospital
- Caribou Medical Center
- Mountain View Hospital
- Intermountain Health Logan Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6185240-1205 | UT | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evanston Clinic Corp | Urology | Current | Accepting new patients |
| Bear Lake County Memorial Hospital | Current | Accepting new patients | |
| Bear Lake County Memorial Hospital | Current | Accepting new patients | |
| Franklin County Medical Center | Current | Accepting new patients | |
| Tooele Urology LLC | Current | Accepting new patients | |
| Physician Group of Utah Inc | Current | Accepting new patients | |
| Deseret Peak Anesthesia, LLC | Current | Accepting new patients | |
| Bear Lake County Memorial Hospital | Current | Accepting new patients | |
| Franklin County Medical Center | Current | Accepting new patients | |
| Caribou Medical Center, Inc | Current | Accepting new patients | |
| Urology Associates Medical Group, PC | Urology | Current | Accepting new patients |
| Caribou Medical Center, Inc | Current | Accepting new patients | |
| The Bladder Clinic LLC | Urology | Current | Accepting new patients |
| Franklin County Medical Center | Past | Accepting new patients | |
| Suburban Urology Network PLLC | Urology | Past | Accepting new patients |
| Evanston Internal Medicine Assoc. | Past | Accepting new patients |
Locations
164 S 5th St
Montpelier, ID 83254
Phone (208) 847-1630
822 Washington St
Montpelier, ID 83254
Phone (208) 847-4404
44 N 1st E
Preston, ID 83263
Phone (208) 852-0137
47 N 1st E
Preston, ID 83263
Phone (208) 852-2900
64 N 1st E
Ste 200
Preston, ID 83263
Phone (208) 852-3662
300 S 3rd W
Soda Springs, ID 83276
Phone (208) 547-0700
1551 Renaissance Towne Dr
Ste 460
Bountiful, UT 84010
Phone (385) 252-3337
1030 S Medical Dr
Brigham City, UT 84302
Phone (435) 237-7822
24 S 1100 E
Ste 105
Salt Lake Cty, UT 84102
Phone (801) 266-3418
2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866
2376 N 400 E
Ste A104
Tooele, UT 84074
Phone (435) 882-0071
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
3590 W 9000 S
Ste 105
West Jordan, UT 84088
Phone (801) 233-6483
3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210
110 Hospital Ln
Afton, WY 83110
Phone (208) 227-1137
150 Arrowhead Dr
Ste 1
Evanston, WY 82930
Phone (307) 789-0524
196 Arrowhead Dr
Ste 2
Evanston, WY 82930
Phone (307) 783-8143
196 Arrowhead Dr
Ste 8
Evanston, WY 82930
Phone (307) 789-1390
Interoperability endpoints
- jpparkin@yourcarecommunity.org
- justin.parkinson.1@1583.direct.athenahealth.com
- justin.parkinson.1@17373.direct.athenahealth.com
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bear Lake Internal Medicine
- Internal Medicine Physician
- Montpelier, ID
- NPI 1174741441
-
dba Caribou Medical Center
- Critical Access Hospital
- Soda Springs, ID
- NPI 1942970272
-
dba FCMC Specialty Clinic
- Critical Access Hospital
- Preston, ID
- NPI 1548355811
-
- Specialist
- South Jordan, UT
- NPI 1477676930
-
- Urology Physician
- Bountiful, UT
- NPI 1992550974
-
- Medical Specialty Clinic/Center
- South Jordan, UT
- NPI 1457599912
-
- Critical Access Hospital
- Montpelier, ID
- NPI 1336125533
-
dba BLMH Bear Lake Clinic
- Multi-Specialty Clinic/Center
- Garden City, UT
- NPI 1538916333
-
- Certified Registered Nurse Anesthetist
- Tooele, UT
- NPI 1518972280
-
- Orthopaedic Surgery Physician
- Montpelier, ID
- NPI 1376871749
-
dba Lakeview Medical Clinic
- Rural Health Clinic/Center
- Soda Springs, ID
- NPI 1548930878
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Logan Regional Hospital
- General Acute Care Hospital
- Logan, UT
- NPI 1831108497
-
- Critical Access Hospital
- Montpelier, ID
- NPI 1336125533
-
dba Caribou Medical Center
- Critical Access Hospital
- Soda Springs, ID
- NPI 1942970272
-
dba FCMC Specialty Clinic
- Critical Access Hospital
- Preston, ID
- NPI 1548355811
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488758400000",
"number": "1851314066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 W 4100 S",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841205530",
"telephone_number": "801-965-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 RENAISSANCE TOWNE DR",
"address_2": "SUITE 370",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840107667",
"telephone_number": "801-965-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKINSON",
"first_name": "JUSTIN",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2017-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "UT",
"license": "6185240-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851314066",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.