PARK CITY SPECIALTY EAST
NPI 1255623708
Urology in Park City, UT

NPI Status: Active since May 03, 2011

Contact Information

750 ROUND VALLEY DR
STE 101
PARK CITY, UT
ZIP 84060
Phone: (435) 658-7470

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  • Organization
  • Urology
  • Accepts Insurance

About PARK CITY SPECIALTY EAST

This page provides the complete NPI Profile along with additional information for Park City Specialty East, a provider established in Park City, Utah operating as a Urology. The healthcare provider is registered in the NPI registry with number 1255623708 assigned on May 2011. The practitioner's primary taxonomy code is 208800000X with license number 5832011 (UT). The provider is registered as an organization and their NPI record was last updated 15 years ago. Park City Specialty East operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Park City Specialty East. The authorized official of this NPI record is Dr. Linda C Leckman Md (Ceo Intermountain Medical Group)

NPI
1255623708
Provider Legal Name
IHC HEALTH SERVICES INC
Other Organization Name
PARK CITY SPECIALTY EAST
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
750 ROUND VALLEY DR STE 101 PARK CITY, UT 84060
Location Phone
(435) 658-7470
Mailing Address
PO BOX 27128 SALT LAKE CITY, UT 84127
Mailing Phone
(435) 658-7470
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2011
Last Update Date
05-09-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
5832011
License State
UT
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207LP2900XAllopathic & Osteopathic Physicians

Anesthesiology
Pain Medicine

5832011 (UT)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LINDA C LECKMAN MD

Authorized Official Title
CEO INTERMOUNTAIN MEDICAL GROUP
Authorized Official Phone
(801) 442-3974

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000055456MEDICARE PIN (08)UT 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255623708, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 1 + 2 + 2 + 6 + 7 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1255623708.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Pain Medicine (Pain Medicine)
750 ROUND VALLEY DR, STE 101
PARK CITY, UT 84060
Pharmacist
750 ROUND VALLEY DR
PARK CITY, UT 84060
Family Medicine
750 ROUND VALLEY DR
PARK CITY, UT 84060
Pediatrics
750 ROUND VALLEY DR, SUITE 102
PARK CITY, UT 84060
Physician Assistant
750 ROUND VALLEY DR
PARK CITY, UT 84060
Pediatrics
750 ROUND VALLEY DR, SUITE 102
PARK CITY, UT 84060
Pediatrics
750 ROUND VALLEY DR, SUITE 102
PARK CITY, UT 84060
Pediatrics
750 ROUND VALLEY DR, SUITE 102
PARK CITY, UT 84060
Pediatrics
750 ROUND VALLEY DR, SUITE 102
PARK CITY, UT 84060
Physician Assistant
750 ROUND VALLEY DR, SUITE 200
PARK CITY, UT 84060
Family Medicine
750 ROUND VALLEY DR
PARK CITY, UT 84060
Social Worker (Clinical)
750 ROUND VALLEY DR
PARK CITY, UT 84060
Pediatrics
750 ROUND VALLEY DR, #102
PARK CITY, UT 84060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255623708, enumerated as an "organization" on May 03, 2011.

The provider is located at 750 ROUND VALLEY DR STE 101 PARK CITY, UT 84060 and the phone number is (435) 658-7470.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.