JUPITER MEDICAL I LLC
NPI 1104346543
Internal Medicine in Park City, UT

Q: What is Jupiter Medical I LLC's NPI number?

The NPI number for Jupiter Medical I LLC is 1104346543. It was assigned to this organization in the NPPES registry on June 27, 2017.

Q: What is Jupiter Medical I LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 27, 2017

1784 UINTA WAY UNIT E2, PARK CITY, UT 84098(435) 604-0160(435) 731-8328 Get Directions Write a Review

NPPES record last updated: June 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jupiter Medical I Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUPITER MEDICAL I LLC (NPI 1104346543) is a healthcare organization registered as an internal medicine in Park City, Utah and active in the NPI registry since June 2017. The organization lists Bryan Knepper, Owner, as its authorized official.

NPPES Registry Identity

NPI1104346543

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameJUPITER MEDICAL I LLC

Location Address1784 UINTA WAY UNIT E2Park City, UT 84098-7685

Mailing Address21 White Hill RdCold Spring Harbor, NY 11724-1211

Phone(435) 604-0160

Fax(435) 731-8328

Organization SubpartNo

Authorized OfficialBryan KnepperOwner · (617) 571-3680

Enumeration DateJune 27, 2017

✔ NPI 1104346543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1784 UINTA WAY UNIT E2, Park City, UT 84098

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Other Identifiers 1

MedicaidU000092310UT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

APEX CONCIERGE MEDICINE LLC

Internal Medicine