Scott C Justesen, MD, PC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

PENDING Issued in UT

Legal business name

SCOTT C JUSTESEN, MD, PC

Doing business as

Castle Country Orthopedic & Sports Medicine

Practice address

377 N Fairgrounds Rd
Price, UT 84501-4208

Phone

(435) 613-6600

NPI assigned

Aug 5, 2007

Last updated

Sep 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Charles Justesen, MDNPI 1821044595

Title

Owner/Physician

Phone

(435) 613-6600

Specialties & licenses 1

Addresses

Other names 1

• Castle Country Orthopedic & Sports Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott C Justesen, MD

  • Orthopaedic Trauma Physician
  • Price, UT
  • NPI 1821044595
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1982895181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 N FAIRGROUNDS RD",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014208",
            "telephone_number": "435-613-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 N FAIRGROUNDS RD",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014208",
            "telephone_number": "435-613-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT C JUSTESEN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "JUSTESEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "435-613-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "UT",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castle Country Orthopedic & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Sanderson
• Sara Tarjan, LLC
• Nathan Adam Sauter, CSW
• Ashley Schmidt
• Emma Haddock Schoppe, CTRS, TRS
• J. Stewart Scoville, DC
• Mary Diane Scow, RN
• Steven Scow, PHARMD
• Shane D Gagon MD, PC (Castle Country Family Medicine)
• Dustin Sharp

• Sports Medicine (Orthopaedic Surgery) Physician in Price, UT
• Providers in Price, UT by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.