Park City Internal Medicine - Pediatrics, Lc
NPI 1750569562 · Health Service Clinic/Center · Park City, UT
Park City Internal Medicine - Pediatrics, Lc is a Health Service Clinic/Center organization in Park City, UT (NPI 1750569562).
Provider details
- NPI number
- 1750569562
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Penny Peacock, Owner(435) 655-3309
- License
- 5151398-1205 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-04
- Last updated
- 2011-05-18
Frequently asked questions
- What is Park City Internal Medicine - Pediatrics, Lc's NPI number?
- Park City Internal Medicine - Pediatrics, Lc's National Provider Identifier (NPI) is 1750569562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park City Internal Medicine - Pediatrics, Lc?
- Park City Internal Medicine - Pediatrics, Lc is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Park City Internal Medicine - Pediatrics, Lc located?
- Park City Internal Medicine - Pediatrics, Lc's practice location on file with NPPES is 1612 Ute Blvd, Park City, UT 84098-7500.
- What is Park City Internal Medicine - Pediatrics, Lc's phone number?
- The practice phone number listed in the NPPES registry for Park City Internal Medicine - Pediatrics, Lc is (435) 655-3309.
- Who is the authorized official for Park City Internal Medicine - Pediatrics, Lc?
- The authorized official listed on Park City Internal Medicine - Pediatrics, Lc's NPPES record is Penny Peacock, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park City Internal Medicine - Pediatrics, Lc's NPI active?
- Yes — Park City Internal Medicine - Pediatrics, Lc's NPI (1750569562) is active in the NPPES registry as of the last update on 2011-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.