UNIVERSITY OF UTAH ADULT SERVICES


Address: 50 North Medical Drive, Salt Lake City, UT 84132
Phone: 8015812121

UNIVERSITY OF UTAH ADULT SERVICES (NPI# 1285038083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285038083
Entity Type Organization
Organization Name UNIVERSITY OF UTAH ADULT SERVICES
Other Organization Name INTERNAL MED- INTERVENTIONAL CARDIOLOGY DEPT. OF UNIVERSITY OF UTAH
Practice Address 50 North Medical Drive
Salt Lake City
UT 84132
Mailing Address Po Box 841450
Los Angeles
CA 90084-1450
Practice Telephone 8015812121
Mailing Telephone 8015876336
Enumeration Date 2014-10-22
Last Update Date 2020-05-19
Authorized Official Name EDWARD CLARK (CHIEF MEDICAL OFFICER)
Authorized Official Telephone 8015876336
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name UNIVERSITY OF UTAH ADULT SERVICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Internal Med- Interventional Cardiology Dept. of University of Utah Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982135984 University of Utah Adult Services Audiologist 417 S Wakara Way, 1112, Salt Lake City, UT 84108-1436 2017-03-22
1083158257 University of Utah Adult Services Dentist 375 S Chipeta Way Ste A200, Salt Lake City, UT 84108-1261 2016-12-07
1649724139 University of Utah Adult Services Dermatology 165 N. University Ave. Farmington, Farmington, UT 84025 2016-08-12
1255719407 University of Utah Adult Services Internal Medicine 1208 Hilltop Dr Ste 102, Rock Springs, WY 82901-5858 2015-05-08
1932586294 University of Utah Adult Services Internal Medicine 250 South Eagle Road, Meridian, ID 83642 2015-05-06
1629455282 University of Utah Adult Services Internal Medicine 976 Mountian City Hwy, A Plus Total Care, Elko, NV 89801-2728 2015-05-04
1356745137 University of Utah Adult Services Internal Medicine 1950 E Circle of Hope Drive, Salt Lake City, UT 84112 2014-10-22
1851904247 University of Utah Adult Services Orthopaedic Surgery 9385 S Snowbird Center Dr, Sandy, UT 84092-6249 2020-08-26
1114431921 University of Utah Adult Services Internal Medicine 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 2017-12-01
1174033989 University of Utah Adult Services Clinic/Center 50 N Medical Dr, Salt Lake City, UT 84132-0001 2017-10-06

Office Location

Street Address 50 NORTH MEDICAL DRIVE
City SALT LAKE CITY
State UT
Zip Code 84132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265429906 Sarah Lynn Winter Pediatrics 50 North Medical Drive, Division of General Pediatrics, Salt Lake City, UT 84312 2005-09-27
1497287775 Amanda Kull Otolaryngology 50 North Medical Drive, Salt Lake City, UT 84132 2017-03-28
1891190856 University of Utah Adult Services Internal Medicine 50 North Medical Drive, Salt Lake City, UT 84132 2014-11-03
1679977474 University of Utah Adult Services Internal Medicine 50 North Medical Drive, Salt Lake City, UT 84132 2014-10-22
1093119893 University of Utah Adult Services Internal Medicine 50 North Medical Drive, Salt Lake City, UT 84132 2014-10-22
1851795652 University of Utah Adult Services Internal Medicine 50 North Medical Drive, Salt Lake City, UT 84132 2014-10-22
1598169393 University of Utah Adult Services Internal Medicine 50 North Medical Drive, Salt Lake City, UT 84132 2014-10-22
1124422928 University of Utah Adult Services Internal Medicine 50 North Medical Drive, Salt Lake City, UT 84132 2014-10-22
1588068381 University of Utah Adult Services Internal Medicine 50 North Medical Drive, Salt Lake City, UT 84132 2014-10-22
1083852677 Jill Stratford Waldron Nurse Practitioner 50 North Medical Drive, University of Utah Cardiology Clinic #10, Salt Lake City, UT 84132 2009-02-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275162331 Scott Andrew Rizzi Student in an Organized Health Care Education/Training Program 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 2020-04-02
1609421403 Monika Fleckenstein Ophthalmology 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 2019-08-08
1366975914 Jacob Brandenburg Anesthesiology School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 2017-04-10
1568815082 Anastasia Neufeld Ophthalmology 65 Mario Capecchi Drive, Salt Lake City, UT 84132 2016-07-20
1912350083 Gmaan Alzhrani Student in an Organized Health Care Education/Training Program 175 N. Medical Drive East
, Salt Lake City, UT 84132 2016-07-13
1831544600 Drew Goerke Occupational Therapist 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 2016-04-29
1891179024 Bong Jik Kim Student in an Organized Health Care Education/Training Program 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 2015-07-17
1043699101 Chris Anderson Physician Assistant 30 North 1900 East #3c344, Salt Lake City, UT 84132 2015-05-22
1689061822 Ryan Clark Thoracic Surgery (Cardiothoracic Vascular Surgery) 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 2015-04-24
1649666264 Kevin Conrad Anesthesiology 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 2015-04-09
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386272755 Advanced Vein and Vascular of Salt Lake City LLC Internal Medicine 6321 S Redwood Rd Ste 102, Salt Lake City, UT 84123-6799 2020-03-31
1114361136 Lee Anthony Linstroth Internal Medicine 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0002 2013-04-21
1437446168 Mountainstar Cardiology St Marks LLC Internal Medicine 1160 E 3900 S, Ste. 2000, Salt Lake City, UT 84124-1202 2011-07-01
1770720534 Zubair Cardiovascular Inc Internal Medicine 82 South 1100 East, Suite 402, Salt Lake City, UT 84102 2009-01-15
1629221841 Eric M Lindley Internal Medicine University of Utah, Salt Lake City, UT 84132-0001 2008-10-31
1255591194 Vamsee Mohan Yaganti Internal Medicine 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 2008-06-13
1154538148 Anwar Tandar Internal Medicine 30 N 1900 E, University of Utah Hospital, Salt Lake City, UT 84132-0002 2007-05-17
1134219769 William Harvey Barry Internal Medicine 50 N Medical Dr, Cardiology Division, Salt Lake City, UT 84132-0001 2006-10-13
1922058064 Cardiovascular Consultants of Utah PC Internal Medicine 24 S 1100 E, Suite 304, Salt Lake City, UT 84102-1500 2006-05-11
1982682647 Theophilus E Owan Internal Medicine 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2006-01-04
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Competitor

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City SALT LAKE CITY
Zip Code 84132

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Dataset Information

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.

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