MEDICARE: DR. LANE CLAYTON THAUT D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	17163	CA
2	2083B0002X	Obesity Medicine (Preventive Medicine) Physician	DOS-1915	HI
3	207P00000X	Emergency Medicine Physician	DOS-1915	HI
4	207P00000X	Emergency Medicine Physician	R4911	TX

General Provider Information

NPI Number	:	1174984058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LANE CLAYTON THAUT D.O.

Provider Business Mailing Address
First Line	:	1743 SIDEWINDER DR UNIT 114
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84060-7322
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1743 S SIDEWINDER DRIVE UNIT 114
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84060
Country	:	US
Telephone Number	:	307-840-9834
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2016
Last Update Date	:	12/03/2025

Similar Medicare Providers

1013981539 — DR. JOSHUA TURNER NAPIER MD
Practice Location Address:

900 ROUND VALLEY DR
PARK CITY, UT
84060-7552

Practice Phone: 435-658-7400
Practice Fax:

1831085612 — DYLAN CIRULIS DPT
Practice Location Address:

900 ROUND VALLEY DR
PARK CITY, UT
84060-7552

Practice Phone: 658-435-7000
Practice Fax:

1598493827 — JUAN TORRES DPT
Practice Location Address:

900 ROUND VALLEY DR
PARK CITY, UT
84060-7552

Practice Phone: 435-658-7360
Practice Fax:

1407166556 — KARY ELLEN WOODRUFF R.D., M.S., C.D.
Practice Location Address:

900 ROUND VALLEY DR STE 110
PARK CITY, UT
84060-7552

Practice Phone: 435-333-3535
Practice Fax:

1043173495 — TERRI HARDY PHARM.D.
Practice Location Address:

1760 PARK AVE
PARK CITY, UT
84060-5125

Practice Phone: 435-649-6264
Practice Fax:

1255755617 — MELISSA RICKS PA-C
Practice Location Address:

900 ROUND VALLEY DR
PARK CITY, UT
84060-7552

Practice Phone: 435-655-6600
Practice Fax:

Directions to “ DR. LANE CLAYTON THAUT D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.