UNIVERSITY OF UTAH ADULT SERVICES


Address: 50 N Medical Dr, Salt Lake City, UT 84132-0001
Phone: 8015812121

UNIVERSITY OF UTAH ADULT SERVICES (NPI# 1407250202) 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) 1407250202
Entity Type Organization
Organization Name UNIVERSITY OF UTAH ADULT SERVICES
Other Organization Name UNIVERSITY OF UTAH HOSPITAL HUMAN DEVELOPMENT DIVISION
Practice Address 50 N Medical Dr
Salt Lake City
UT 84132-0001
Mailing Address Po Box 841450
Los Angeles
CA 90084-1450
Practice Telephone 8015812121
Mailing Telephone 8015876336
Enumeration Date 2014-10-22
Last Update Date 2020-05-20
Authorized Official Name EDWARD CLARK (DEPT. CHAIR)
Authorized Official Telephone 8015876336
Is Organization Subpart Y
Parent Organization Name UNIVERSITY OF UTAH ADULT SERVICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
University of Utah Hospital Human Development Division 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 N MEDICAL DR
City SALT LAKE CITY
State UT
Zip Code 84132-0001

Providers in the same location

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
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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
Find all providers in zip 84132

Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083638308 Mark Andrew Supiano Internal Medicine University of Utah Healthcare, 30 North 1900 East; Ab193 Som, Salt Lake City, UT 84132-0001 2006-07-27
1568489375 Rachael Stubbs Internal Medicine 2981 Juliet Way, Salt Lake City, UT 84121-7023 2006-07-16
1265475131 Byron Bair Internal Medicine Slc Vamc Grecc (182), 500 Foothill Blvd, Salt Lake City, UT 84148-0001 2006-06-14
1457398703 Randall W. Rupper Internal Medicine Grecc (182) Bldg. 2, Vamc, 500 Foothill Drive, Salt Lake City, UT 84148-0001 2006-06-02
1609263300 Shannon M. Devlin Internal Medicine 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132-0002 2015-04-20
1164765053 Kristin Marie Hueftle Internal Medicine 555 Foothill Dr, Salt Lake City, UT 84112-1106 2013-03-29
1689709859 Ihc Health Services Inc Internal Medicine 324 10th Ave, #200, Salt Lake City, UT 84103-2853 2007-02-21
1629145123 Laurene Gay Joseph Internal Medicine 1160 E 3900 S, G200, Salt Lake City, UT 84124-1202 2006-11-29
1609966217 Jonathan Rich Nebeker Internal Medicine 50 N Medical Dr, Salt Lake City, UT 84132-0001 2006-10-13
1487744553 Danesh Rahimi Internal Medicine 1160 E 3900 S, G200, Salt Lake City, UT 84124-1202 2006-10-12
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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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