UNIVERSITY OF UTAH (NPI# 1316277635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316277635 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH |
| Practice Address |
50 N Medical Dr Salt Lake City UT 84132-0001 |
| Mailing Address |
1952 Maple Hollow Way Bountiful UT 84010-1041 |
| Practice Telephone | 8015816393 |
| Mailing Telephone | 8012051003 |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |
| Authorized Official Name | DR. EVELYN CHARLOTTE LOOSE (ASSISTANT PROFESSOR) |
| Authorized Official Telephone | 8012051003 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
3674091205 | UT | Hospitals |
| Y | 282N00000X | General Acute Care Hospital | 3764091205 | UT | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1790147833 | University of Utah | Pharmacy | 6056 S Fashion Square Dr Ste 1000, Suite 1000, Murray, UT 84107-5410 | 2016-03-28 |
| 1205215076 | University of Utah | General Acute Care Hospital | 30 N 1900 E # 4a100, Salt Lake City, UT 84132-0002 | 2015-05-26 |
| 1104115476 | University of Utah | General Acute Care Hospital | 470 N Harbor Dr Nw, Atlanta, GA 30328-2751 | 2011-04-07 |
| 1275838575 | University of Utah | Pharmacy | 4696 Daybreak Rim Way, South Jordan, UT 84095-5129 | 2011-01-18 |
| 1518011584 | University of Utah | General Acute Care Hospital | 03730 W 4700 S, West Valley, UT 84108 | 2007-01-23 |
| 1023107612 | University of Utah | Pharmacy | 145 W 1300 S, Orem, UT 84058-7316 | 2006-10-12 |
| 1932298528 | University of Utah | Pharmacy | 555 S Foothill Blvd, Suite 396, Salt Lake City, UT 84112-1106 | 2006-10-12 |
| 1295824886 | University of Utah | Pharmacy | 65 S Mario Capecchi Dr, Suite 2430, Salt Lake City, UT 84132-0005 | 2006-10-12 |
| 1306883954 | University of Utah | Durable Medical Equipment & Medical Supplies | 6056 S Fashion Square Dr, Suite 1100, Murray, UT 84107-7355 | 2006-06-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | University of Utah Health Plans | 6053 Fashion Square Drive, Suite 110, Murray, UT 84107 |
| System for Award Management (SAM) Entities | UNIVERSITY OF UTAH HOSPITALS AND CLINICS | 50 North Medical Dr, Salt Lake City, UT 84132-0001 |
| System for Award Management (SAM) Entities | UNIVERSITY OF UTAH, THE | 201 Presidents Cir, Salt Lake City, UT 84112-9049 |
| Street Address |
50 N MEDICAL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84132-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555696 | Yaw Ababio Boateng | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2005-06-01 |
| 1073114864 | Stephanie Bevill | Registered Nurse | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-11-06 |
| 1609477801 | Justin Larson | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-11-04 |
| 1366042467 | Kirsty Aleah Vannoy | Occupational Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-10-28 |
| 1629675673 | Erica Kueneman | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-10-02 |
| 1487266680 | Michelle A Barker | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-19 |
| 1770195943 | Lisa M Schaeffer | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-19 |
| 1194336289 | Michelle Rios | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-12 |
| 1932710027 | Tanner Ladsten | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-12 |
| 1578174660 | Rachel Sette | Occupational Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-12 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 84132 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114451622 | Tracy Albers | General Acute Care Hospital | 844 S 800 E, Salt Lake City, UT 84102-3516 | 2017-04-12 |
| 1205215076 | University of Utah | General Acute Care Hospital | 30 N 1900 E # 4a100, Salt Lake City, UT 84132-0002 | 2015-05-26 |
| 1962745786 | Univeristy of Utah | General Acute Care Hospital | University of Utah Hospitals & Clinics, 1c412 University Medical Center 30 North 1900 East, Salt Lake City, UT 84132-2155 | 2013-03-29 |
| 1184966772 | Intermountain Health Care | General Acute Care Hospital | 1410 S Mcclelland St, Salt Lake City, UT 84105-2408 | 2013-03-21 |
| 1285994400 | Veterans Administration | General Acute Care Hospital | 1901 Berkeley St., Salt Lake City, UT 84108 | 2012-05-22 |
| 1689809378 | University of Utah Hospital and Clinics | General Acute Care Hospital | 30 North1900 E, Salt Lake City, UT 84132-0001 | 2009-05-25 |
| 1396999041 | University of Utah Hospital | General Acute Care Hospital | Office of Graduate Medical Education, 1c412 University Medical Center/ 30n 1900 East, Salt Lake City, UT 84132-0001 | 2008-11-07 |
| 1437333895 | Ina Amber Md LLC | General Acute Care Hospital | 1151 E 3900 So, Suite B275, Salt Lake City, UT 84124 | 2007-12-20 |
| 1295920023 | Unversity of Utah Health Care | General Acute Care Hospital | Division of Geriatrics Univerisity of Utah, 30n. 1900e. Ab193 Som, Salt Lake City, UT 84132-0001 | 2007-09-14 |
| 1902359052 | University of Utah Hospitals | General Acute Care Hospital | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2016-07-25 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84132 |
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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.