Active NPI
Wayne L Stokes, MD
- Physical Medicine & Rehabilitation Physician
- Park City, UT
National Provider Identifier
1871622985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 5574948-1205
- Practice address
- 1743 Redstone Center Dr
Ste. 115
Park City, UT 84098-7929 - Phone
- (435) 658-9200
- NPI assigned
- Mar 5, 2007
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 5574948-1205 | UT | Primary |
Addresses
Primary practice location
1743 Redstone Center Dr
Ste. 115
Park City, UT 84098-7929
Mailing address
PO Box 510708
Salt Lake City, UT 84151-0708
Phone (801) 587-6600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807019600 | Medicaid | ID | |
| D5827 | Medicaid | UT | |
| 100506120 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5574948-1205 | UT | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Docs Physicians Affiliated With Bimc | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
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.
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY, Physical Medicine & Rehabilitation
-
- General Practice Physician
- New York, NY
- NPI 1821016692
Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871622985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 510708",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841510708",
"telephone_number": "801-587-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1743 REDSTONE CENTER DR",
"address_2": "STE. 115",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840987929",
"telephone_number": "435-658-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKES",
"first_name": "WAYNE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "UT",
"license": "5574948-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807019600",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D5827",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100506120",
"state": "NV"
}
],
"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 Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.