UNIVERSITY OF UTAH PEDIATRIC SERVICES (NPI# 1386257152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386257152 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH PEDIATRIC SERVICES |
| Practice Address |
9385 S Snowbird Center Dr Sandy UT 84092-6249 |
| Mailing Address |
Po Box 841450 Los Angeles CA 90084-1450 |
| Practice Telephone | 8015877109 |
| Mailing Telephone | 8015876336 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | ED CLARK (CHAIR) |
| Authorized Official Telephone | 8015876336 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF UTAH PEDIATRIC SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Snowbird Injury Clinic | 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 |
| 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 |
| 1346692605 | University of Utah Pediatric Services | Pediatrics | 450 E Main St, Rexburg, ID 83440-2048 | 2016-07-11 |
| Street Address |
9385 S SNOWBIRD CENTER DR |
| City | SANDY |
| State | UT |
| Zip Code | 84092-6249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904247 | University of Utah Adult Services | Orthopaedic Surgery | 9385 S Snowbird Center Dr, Sandy, UT 84092-6249 | 2020-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922580687 | Michael L Wolf | Registered Nurse | 9915 S 2240 E, Sandy, UT 84092 | 2018-08-29 |
| 1780193763 | Marcia Marie Mitchell | Internal Medicine | 4 Longwood Lane, Sandy, UT 84092 | 2017-09-22 |
| 1154737427 | Sandy Shores Pediatric Dentistry | Dentist | 1434 E. 9400 S. #205, Sandy, UT 84092 | 2014-07-08 |
| 1629349915 | David Adams | Counselor | 10306 South 2375 East, Alta, UT 84092 | 2012-01-19 |
| 1043511587 | Edward Chipman Spencer | Orthopaedic Surgery | 3260 East 9425 South, Sandy, UT 84092 | 2010-11-16 |
| 1669785440 | David Jonathan Wilde | Counselor | 10038 S Countrywood Dr, Sandy, UT 84092 | 2010-07-21 |
| 1396057592 | Joshua Taylor Silva | Preventive Medicine | 2878 E Wasatch Blvd, Sandy, UT 84092 | 2010-07-06 |
| 1467619809 | Deborah J. Dean | Clinical Nurse Specialist | 9768 Eastdell Dr, Sandy, UT 84092 | 2008-05-22 |
| 1780781682 | Michael Ryan Adams | Family Medicine | 7998 South 1300 East, Sandy, UT 84092 | 2006-09-20 |
| 1194853390 | William S Hoge | Pharmacist | 9500 E Little Cottonwood Cny Rd, Snowbird, UT 84092-0000 | 2007-03-01 |
| Find all providers in zip 84092 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982141008 | Douglas Kehl | Orthopaedic Surgery | 825 W South Links Dr, Washington, UT 84780-8524 | 2017-01-26 |
| 1104027234 | Lyle Beyer Mason | Orthopaedic Surgery | 1708 Stone Ridge Cir, Bountiful, UT 84010-1033 | 2007-05-29 |
| 1528115763 | David L Mccann | Orthopaedic Surgery | 4190 Highland Drive, Suite 102, Salt Lake City, UT 84124-2600 | 2007-01-03 |
| 1689228298 | Meaghan Marien | Orthopaedic Surgery | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-07-31 |
| 1750709242 | Abby Mccain Howenstein | Orthopaedic Surgery | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2014-04-01 |
| 1396187282 | Shriners Hospitals for Children | Orthopaedic Surgery | 1275 E Fairfax Rd, Salt Lake City, UT 84103-4324 | 2013-07-22 |
| 1497089908 | Utah Orthopaedics LLC | Orthopaedic Surgery | 5782 Adams Avenue Parkway, Washington Terrace, UT 84405 | 2009-09-30 |
| 1932385671 | Suzanne M Yandow | Orthopaedic Surgery | 100 Mario Capecchi Dr, 4550, Salt Lake City, UT 84113-1103 | 2008-01-11 |
| 1699826693 | Theresa Ann Hennessey | Orthopaedic Surgery | Shriners Hospitals for Children, Fairfax Road At Virginia Street, Salt Lake City, UT 84103-4399 | 2007-01-16 |
| 1154497006 | James W Ogilvie | Orthopaedic Surgery | 1340 E. 300 N., Shriners Hospital for Children, Salt Lake City, UT 84103-4399 | 2006-11-24 |
| Find all providers with the same taxonomy | ||||
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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.