Individual provider · Type 1 NPI

Jennifer Shuler Deramo, MD

Pediatrics Physician · Park City, UT

NPI number 1063717551 Active

Practice location

1441 Ute Blvd Ste 220
Park City, UT 84098-7636

Call (866) 415-6556 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

  • 5323 Harry Hines Boulevard, Dallas, TX 75390-7208 · (214) 456-7000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatrics Physician Primary 208000000X12377696-1205 (UT)
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204XQ5996 (TX)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

5 other providers at this address

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About NPI 1063717551

Jennifer Shuler Deramo, MD's National Provider Identifier is 1063717551, issued on Jan 14, 2011. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Park City, UT. The record was last updated on Aug 12, 2026.