PETER P TAILLAC


Address: University of Utah Division of Emergency Medicine, 30 North 1900 East Room 1c026, Salt Lake City, UT 84132-0001
Phone: 8015812417

PETER P TAILLAC (NPI# 1467414581) 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) 1467414581
Entity Type Individual
Full Name PETER P TAILLAC
Credential MD
Practice Address University of Utah Division of Emergency Medicine
30 North 1900 East Room 1c026
Salt Lake City
UT 84132-0001
Mailing Address 3439 Canyon Cove Dr
Holladay
UT 84121-6335
Practice Telephone 8015812417
Mailing Telephone 8012727606
Mailing Fax Number 8012725399
Enumeration Date 2006-04-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
279025-1205 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UT D1205 05

Office Location

Street Address UNIVERSITY OF UTAH DIVISION OF EMERGENCY MEDICINE
30 NORTH 1900 EAST ROOM 1C026
City SALT LAKE CITY
State UT
Zip Code 84132-0001

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 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437437589 Jeff Johnson Clawson Emergency Medicine 139 E South Temple, Suite 500, Salt Lake City, UT 84111-1103 2011-07-22
1548463508 Michael D Dowdall Emergency Medicine 381 Middle Oak Ln, Salt Lake City, UT 84108-1649 2007-06-07
1669562419 Emergency Physicians Integrated Care, LLC Emergency Medicine 2500 S State St, Salt Lake City, UT 84115-3110 2006-10-13
1316967888 Peter S Lenz Emergency Medicine 8th Ave C St, Salt Lake City, UT 84143-0001 2006-07-20
1033139589 Kathleen C Besser Emergency Medicine 8th Avenue C St, Salt Lake City, UT 84143-0001 2006-07-20
1578598199 Emergency Physicians Integrated Care, LLC Emergency Medicine 333 N 300 W, Salt Lake City, UT 84103-1215 2006-07-12
1265689905 Rocky Mountain Critical Care Associates, Inc Emergency Medicine 1050 E South Temple, 3rd Floor, Salt Lake City, UT 84102-1507 2008-08-25
1194972836 S Dwayne Roberts Md LLC Emergency Medicine 1050 E South Temple, 3rd Floor, Salt Lake City, UT 84102-1507 2008-08-25
1538182365 Gregory R Dunnavant Emergency Medicine 8th Avenue C St, Salt Lake City, UT 84143-0001 2006-07-25
1588687495 Todd L Allen Emergency Medicine 8th Avenue C St, Salt Lake City, UT 84143-0001 2006-07-25
Find all providers in SALT LAKE CITY

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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