UNIVERSITY OF UTAH HOSPITALS AND CLINICS (NPI# 1336304419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336304419 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
| Other Organization Name | UUHC SOUTH JORDAN CLINIC |
| Practice Address |
5126 W Daybreak Pkwy South Jordan UT 84095-5994 |
| Mailing Address |
Po Box 510708 Salt Lake City UT 84151-0708 |
| Practice Telephone | 8012134500 |
| Mailing Telephone | 8015876303 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2012-04-23 |
| Authorized Official Name | DR. SUSAN A TERRY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8015876307 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UUHC South Jordan Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649436304 | University of Utah Hospitals and Clinics | Optometrist | 145 W University Pkwy, Orem, UT 84058-7316 | 2008-08-01 |
| 1770749806 | University of Utah Hospitals and Clinics | Optometrist | 1743 Redstone Center Dr, Ste. 115, Park City, UT 84098-7929 | 2008-07-29 |
| 1629234752 | University of Utah Hospitals and Clinics | Optometrist | 220 Millpond, Ste. 100, Stansbury Park, UT 84074-9745 | 2008-07-29 |
| 1235395377 | University of Utah Hospitals and Clinics | Optometrist | 1492 W Antelope Dr, Ste. 150, Layton, UT 84041-1139 | 2008-07-29 |
| 1558527697 | University of Utah Hospitals and Clinics | Optometrist | 7495 S State St, Midvale, UT 84047-2013 | 2008-07-29 |
| 1801051974 | University of Utah Hospitals and Clinics | Optometrist | 3730 W 4700 S, West Valley City, UT 84118-3457 | 2008-07-28 |
| 1982642252 | University of Utah Hospitals and Clinics | Optometrist | 1525 W 2100 S, Salt Lake City, UT 84119-1401 | 2006-06-02 |
| 1811941438 | University of Utah Hospitals and Clinics | Orthopaedic Surgery | 1525 W 2100 S, Salt Lake City, UT 84119-1401 | 2006-05-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF UTAH HOSPITALS AND CLINICS | 50 North Medical Dr, Salt Lake City, UT 84132-0001 |
| Street Address |
5126 W DAYBREAK PKWY |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-5994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972641 | Brandon Lee Reynolds | Obstetrics & Gynecology | 5126 W Daybreak Pkwy, South Jordan, UT 84095-5994 | 2005-09-16 |
| 1174121503 | Diana Palandri | Pharmacist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2020-10-16 |
| 1396358693 | Allison Yarborough | Physical Therapist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2020-08-26 |
| 1275160947 | Samuel Druce Montmorency | Emergency Medical Technician, Basic | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2020-03-24 |
| 1275175176 | Laura Rice Kenney | Nurse Practitioner | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-10-11 |
| 1205481876 | Kendall Sauter | Physical Therapist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-08-09 |
| 1922653351 | Ashley Joy Jensen | Advanced Practice Midwife | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-08-02 |
| 1881247427 | Erik Shane Hansen | Nurse Practitioner | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-07-23 |
| 1972156693 | Deborah Elizabeth Morgan | Nurse Practitioner | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-07-22 |
| 1548822265 | David Bennion | Physical Therapist | 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972012359 | Piacitelli Fm LLC | Family Medicine | 1868 W 9800 S Ste 100, South Jordan, UT 84095-4713 | 2017-09-28 |
| 1871990309 | Ihc Health Services Inc | Family Medicine | 1067 W South Jordan Pkwy, South Jordan, UT 84095-8809 | 2014-11-26 |
| 1336406438 | Allegis Care-utah, PC | Family Medicine | 10808 South River Road, Suite 344, South Jordan, UT 84095-6103 | 2012-04-13 |
| 1235465980 | Robert Sterling Bean | Family Medicine | 10926 Shilling Ave, Unit #2053, South Jordan, UT 84095-4340 | 2009-10-29 |
| 1881860229 | Dennis Tucker Harston | Family Medicine | 10421 S Jordan Gtwy Ste 400, South Jordan, UT 84095-3918 | 2008-05-06 |
| 1023199825 | Charles Olin Canfield | Family Medicine | 10421 S Jordan Gtwy, Ste 660, South Jordan, UT 84095-3905 | 2006-10-18 |
| 1942313739 | Patrick W Marcroft | Family Medicine | 11444 S Redwood Rd, South Jordan, UT 84095-7803 | 2006-08-16 |
| 1386691251 | Katie A. Julien | Family Medicine | 1868 W 9800 S, Suite 100, South Jordan, UT 84095-4713 | 2006-05-27 |
| 1598738270 | Rodolfo Martinez Ferrate | Family Medicine | 1226 W South Jordan Pkwy, Suite C, South Jordan, UT 84095-6023 | 2006-02-11 |
| 1629695341 | Meghan Chandell Newman | Family Medicine | 3556 W 9800 S Ste 101, South Jordan, UT 84095-3221 | 2020-06-29 |
| Find all providers in SOUTH JORDAN | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
Please comment or provide details below to improve the information on UNIVERSITY OF UTAH HOSPITALS AND CLINICS.
| 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.