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NPISignal

Individual Healthcare Provider

Steven Mark Kern, M.D.

NPI Record: ActiveDermatology
NPI1104814102
Park City, Utah

Provider's NPPES record last updated: March 7, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1104814102
Primary Specialty
Dermatology
Practice Location
Park City, Utah
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 10:25 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dermatology

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 207N00000X

Provider-Reported License Information

Dermatology (California)
G58292
Dermatology (Utah)
330766827
Dermatology (Nevada)
18908
Dermatology (Utah)
3673151205
Dermatology (Arizona)
22469
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1790 Sun Peak Dr Ste A103

Park City, Utah 84098

Phone: (435) 658-1013

Additional Practice Location

2700 Homestead Rd

#30

Park City, Utah 84098

Phone: (435) 658-1013

Fax: (435) 658-3513

Additional Practice Location

150 N Main St Ste 202

Heber City, Utah 84032-1671

Phone: (435) 658-1013

Fax: (435) 658-3513

Additional Practice Location

20950 N Tatum Blvd Ste 350

Phoenix, Arizona 85050-4256

Phone: (480) 502-6651

Fax: (480) 513-8253

Additional Practice Location

1250 S Buffalo Dr Ste 170

Las Vegas, Nevada 89117-8329

Phone: (702) 255-7924

Fax: (702) 242-9949

Additional Practice Location

525 Plaza Dr Ste 200

Santa Maria, California 93454-6954

Phone: (805) 922-3632

Fax: (805) 922-3522

Record Information

Enumeration Date
October 12, 2005
Provider's NPPES Record Last Updated
March 7, 2023
NPISignal NPPES Dataset
August 2026

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