PARK CITY DERMATOLOGY – NPI #1316095722
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Health Care Provider Taxonomy Code for Dermatology

PARK CITY DERMATOLOGY is a dermatologist located in PARK CITY, UT. NPPES has assigned the NPI number 1316095722 to PARK CITY DERMATOLOGY on January 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PARK CITY DERMATOLOGY” is a dba name, the actual legal business name for this organization is PARK CITY DERMATOLOGY. CO. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PARK CITY DERMATOLOGY below.

NPI Profile for
PARK CITY DERMATOLOGY. CO

NPI Number
1316095722
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PARK CITY DERMATOLOGY. CO
Doing Business As (dba): PARK CITY DERMATOLOGY
Other name(s)
All associated names:
Former Legal Business Name
CENTER FOR COSMETIC DERMATOLOGY
Doing Business As (dba)
PARK CITY DERMATOLOGY
Primary location
1790 SUN PEAK DR STE A103
PARK CITY, UT 84098
Phone: (435) 658-1013 Fax: (435) 658-3513
1 Other location(s):
2700 Homestead Rd
Suite 30
Park City, UT 84098-4857
Phone: (435) 658-1013
Fax: (435) 658-3513
Mailing address
Same as primary location
Organization Subpart
Yes - PARK CITY DERMATOLOGY is subpart of another organization.
Authorized Official
STEVEN KERN
PRESIDENT
Phone: (435) 658-1013
Updated
Identifiers

Identifiers for PARK CITY DERMATOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDEAUTBK2420987
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)		 UT 3673151205

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.