Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053564179 Individual Practitioner Female Practitioner

Shari Bloom , PA-C

Physician Assistant • Park City, UT

Professional Overview & Biography Verified Profile Summary

Shari Bloom, PA-C is a registered healthcare professional specializing in Physician Assistant in Park City, UT. Practice services are available at 1665 BONANZA DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1665 Bonanza Dr

Park City, UT 840605127

Telephone 4356497640
Fax 4356491365
Associated Practice Facility / Clinic
🏢 Pc Pharmacy At The Clinic Inc Facility NPI 1124132113

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Park City, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
30 Specialists

Practicing in Park City, UT (1904 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
50 49 $171.00 $89.57

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License UT MT0903117

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Joseph Ferriter

Family Medicine

NPI 1023063575
NPI 1083669204

Doctor of Medicine (M.D.)

NPI 1144274499

Doctor of Medicine (M.D.)

Dr. Michael Rogowski , MD

Emergency Medicine

NPI 1225001282

Doctor of Medicine (M.D.)

Dr. Stefani Day , MD

Family Medicine

NPI 1265439236

Doctor of Medicine (M.D.)

NPI 1336362490

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 04, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2012

Registered at 1665 BONANZA DR, PARK CITY, UT 840605127 (Tel: 4356497640)

📍
Updated Business Mailing Address September 04, 2012

Registered at PO BOX 27128, SALK LAKE CITY, UT 841270128 (Tel: 8014916482)

👤
Provider Name / Credentials Updated September 04, 2012

Recorded as SHARI BLOOM, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2012

Physician Assistant

🟢
Initial NPI Registration & Enumeration November 03, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053564179
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2008
Last Update: September 04, 2012
Sole Proprietor: No

Mailing Address

Po Box 27128

Salk Lake City, UT 841270128

Phone: 8014916482

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.