Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Theodore S Paisley, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1952415556

Dr. Theodore S Paisley, MD is a Family Practice in Salt Lake City, Utah. Graduated from Geisel School of Medicine at Dartmouth in 1999, 27 years ago. Practices with University of Utah Community Physicians Group, a 280-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
27
Trained at
Geisel School of Medicine at Dartmouth
Licensed in
UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

555 Foothill Dr
Salt Lake City, UT 84112-1106
Phone: (801) 581-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4803526-1205 (UT)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 4803526-1205 (UT)

Record details

NPI number1952415556
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolGEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated 1999 (27 years in practice)
Group practice University Of Utah Community Physicians Group — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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