UNIVERSITY OF UTAH PEDIATRIC SERVICES (NPI# 1043671985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043671985 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH PEDIATRIC SERVICES |
| Other Organization Name | PEDIATRIC INPATIENT SERVICES RIVERTON |
| Practice Address |
3741 W 12600 S Riverton UT 84065-7215 |
| Mailing Address |
Po Box 841450 Los Angeles CA 90084-1450 |
| Practice Telephone | 8015876336 |
| Mailing Telephone | 8012133900 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | EDWARD CLARK (DEPARTMENT CHAIR) |
| Authorized Official Telephone | 8015876336 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pediatric Inpatient Services Riverton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669918769 | University of Utah Pediatric Services | Pediatrics | 1645 Pancheri Dr, Idaho Falls, ID 83402-3169 | 2017-01-12 |
| 1386257152 | University of Utah Pediatric Services | Orthopaedic Surgery | 9385 S Snowbird Center Dr, Sandy, UT 84092-6249 | 2020-08-31 |
| 1023542388 | University of Utah Pediatric Services | Pediatrics | 2360 Mullan Rd, Sutie C, Missoula, MT 59808-1811 | 2017-04-13 |
| 1760928865 | University of Utah Pediatric Services | Internal Medicine | 110 Vista Dr, Pocatello, ID 83201-5824 | 2017-01-12 |
| 1235675364 | University of Utah Pediatric Services | Urology | 1645 Pancheri Dr, Idaho Falls, ID 83402-3169 | 2017-01-12 |
| 1104370691 | University of Utah Pediatric Services | Transplant Surgery | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2016-08-12 |
| 1922552413 | University of Utah Pediatric Services | Surgery | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-08-12 |
| 1578017067 | University of Utah Pediatric Services | Pediatrics | 100 N Mario Capecchi Dr, 1, Salt Lake City, UT 84113-1103 | 2016-08-12 |
| 1568916054 | University of Utah Pediatric Services | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-08-12 |
| 1245682509 | University of Utah Pediatric Services | Pediatrics | 98 Poplar St, Blackfoot, ID 83221-1758 | 2016-07-11 |
| Street Address |
3741 W 12600 S |
| City | RIVERTON |
| State | UT |
| Zip Code | 84065-7215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982647145 | Daniel Louis Chadwell | Audiologist | 3741 W 12600 S, Intermountain Riverton Hospital, Riverton, UT 84065-7215 | 2006-06-14 |
| 1023619533 | Carson Chandler | Physical Therapist | 3741 W 12600 S, Riverton, UT 84065-7215 | 2020-11-03 |
| 1245885664 | Jessica Marie Roestenburg | Occupational Therapist | 3741 W 12600 S, Riverton, UT 84065 | 2019-08-02 |
| 1366902306 | Megan Nalder | Speech-Language Pathologist | 3741 W 12600 S, Riverton, UT 84065-7215 | 2019-03-25 |
| 1205367836 | Jessica Posch | Speech-Language Pathologist | 3741 W 12600 S, Riverton, UT 84065-7215 | 2017-03-24 |
| 1013465921 | Cambry Kaylor | Occupational Therapist | 3741 W 12600 S, Riverton, UT 84065-7215 | 2016-09-20 |
| 1952752008 | Shelly Hardy | Physical Therapist | 3741 W 12600 S, Riverton, UT 84065-7215 | 2016-06-29 |
| 1114378288 | Intermountain Healthcare | Clinic/Center | 3741 W 12600 S, Riverton, UT 84065-7215 | 2016-06-29 |
| 1508215807 | Jordan Wood | Physical Therapist | 3741 W 12600 S, Riverton, UT 84065-7215 | 2016-06-07 |
| 1376907410 | University of Utah Pediatric Acuity Care | Pediatrics | 3741 W 12600 S, Riverton, UT 84065-7215 | 2016-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1275172678 | Dentists of Riverton, LLP | Dentist | 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 | 2020-01-02 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| 1790274546 | Harmon City Inc | Pharmacy | 13330 South Kestrel Range Road, Riverton, UT 84065 | 2018-05-08 |
| 1386147767 | Richard Hayes Johnston | Counselor | 3740 S Market Center Dr #1200, Riverton, UT 84065 | 2018-03-13 |
| 1023537156 | Brenda Fuell | Dental Hygienist | 12959 South Picket Fence Lane, Riverton, UT 84065 | 2017-09-09 |
| 1407373426 | Bethany Marie Breck | Counselor | 3740 S Market Center Drive, #1200, Riverton, UT 84065 | 2017-08-30 |
| 1952848509 | Renaissance Ranch Bluffdale Women's Program | Substance Abuse Rehabilitation Facility | 2356 Thunderhead Way, Bluffdale, UT 84065 | 2017-01-20 |
| 1053856229 | Bradford Scott Bentley Jr. | Physical Therapist | 3741 W 12600 S, Ste 100, Riverton, UT 84065 | 2016-12-27 |
| 1194273524 | New Horizon | Preferred Provider Organization | 1420 W 12600 Sputh, Draper, UT 84065 | 2016-09-14 |
| Find all providers in zip 84065 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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 development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851609564 | Pediatric Inpatient Services Riverton | Pediatrics | 3741 W 126000 S, Riverton, UT 84065 | 2010-09-15 |
| 1417101296 | Sadie M West | Pediatrics | 3723 West 12600 South, Suite 450, Riverton, UT 84065 | 2008-11-06 |
| 1164633715 | Stasha S Lewis | Pediatrics | 3723 W 12600 S Ste 150, Riverton, UT 84065-7296 | 2007-05-25 |
| 1316920770 | Shellie J Ring | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7296 | 2005-11-21 |
| 1255793824 | Jennifer Mijer | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7309 | 2016-03-23 |
| 1073907119 | Melissa Mays Kadish | Pediatrics | 3723 W 12600 S Ste 150, Riverton, UT 84065 | 2015-03-26 |
| 1528452612 | Jenna Whitham | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7309 | 2015-03-26 |
| 1386987055 | Katherine Wingate Quayle | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7296 | 2013-04-01 |
| 1649541699 | Granger Medical Clinic, PC | Pediatrics | 1288 W 12700 S, Riverton, UT 84065-6794 | 2012-01-23 |
| 1366735466 | Rendezvous Medical | Pediatrics | 1035 Rose Ln, Suite B, Riverton, WY 82501-2286 | 2011-05-23 |
| Find all providers in RIVERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.