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

William R. Mathie, PA

Individual provider Surgical Physician Assistant · NPI 1255517488

William R. Mathie, PA is a Physician Assistant in Park City, Utah. Qualified in 2007, 19 years ago. Practices with Rosenberg Cooley Metcalf Lc, a 36-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
19
Licensed in
UT
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

900 Round Valley Dr Ste 100
Park City, UT 84060-7552
Phone: (435) 655-6600
Fax: (435) 655-2388
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6340 S 3000 E Ste 200, Cottonwood Heights, UT 84121-3552 — (801) 743-4500
  • 380 E 1500 S Ste 103, Heber City, UT 84032-3940 — (435) 655-6600

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 313527-8002 (UT)

Record details

NPI number1255517488
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 17, 2008
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026
Mailing address900 Round Valley Dr Ste 100, Park City, UT 84060-7552

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Rosenberg Cooley Metcalf Lc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Park City