UNIVERSITY OF UTAH PEDIATRIC SERVICES


Address: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103
Phone: 8015876336

UNIVERSITY OF UTAH PEDIATRIC SERVICES (NPI# 1568916054) 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) 1568916054
Entity Type Organization
Organization Name UNIVERSITY OF UTAH PEDIATRIC SERVICES
Other Organization Name PEDS OB/GYN SPECIALTY DIVISION
Practice Address 100 N Mario Capecchi Dr
Salt Lake City
UT 84113-1103
Mailing Address Po Box 841450
Los Angeles
CA 90084-1450
Practice Telephone 8015876336
Mailing Telephone 8012133900
Enumeration Date 2016-08-12
Last Update Date 2020-05-21
Authorized Official Name EDWARD CLARK (DEPARTMENT CHAIR)
Authorized Official Telephone 8015876336
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name UNIVERSITY OF UTAH PEDIATRIC SERVICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
Y 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Peds OB/Gyn Specialty Division Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669918769 University of Utah Pediatric Services Pediatrics 1645 Pancheri Dr, Idaho Falls, ID 83402-3169 2017-01-12
1386257152 University of Utah Pediatric Services Orthopaedic Surgery 9385 S Snowbird Center Dr, Sandy, UT 84092-6249 2020-08-31
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
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

Office Location

Street Address 100 N MARIO CAPECCHI DR
City SALT LAKE CITY
State UT
Zip Code 84113-1103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750346607 Paul Krakovitz Otolaryngology 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2006-04-20
1417565839 Gabriel Dunya Student in an Organized Health Care Education/Training Program 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-07-22
1588281000 Alexandra Almberg Nurse Practitioner 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-06-30
1538781224 Adam Hine Dentist 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-05-15
1790306488 Leslie Goltra Pharmacist 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-05-04
1194345512 Perry Alana Chapman Dietitian, Registered 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-04-26
1437779410 Sandra Benson Johnson Registered Nurse 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-04-20
1720608078 Alison Mae Armstrong Student in an Organized Health Care Education/Training Program 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-04-16
1295354850 Katie Lynn Lahue Music Therapist 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-04-14
1790314144 Danielle Armstrong Registered Nurse 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-04-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386111060 Melissa Marie Dixon Psychologist Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 2018-10-31
1366965618 Ashley Stuart Psychologist 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 2017-07-19
1487945135 Justin C Wheeler Pediatrics 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 2011-04-29
1154612117 Dana Boucek Pediatrics 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 2011-04-26
1285959502 Anna Katherine Eyre Ermarth Pediatrics 81 Mario Capecchi, Salt Lake City, UT 84113 2010-03-30
1457682072 Elizabeth K Cho Nurse Practitioner 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 2010-01-21
1528290848 Nancy Crandell Brown Nurse Practitioner 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 2009-08-20
1679708481 Primary Children's Medical Center General Acute Care Hospital 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 2009-05-22
1467697235 Tara Hook Physical Therapist 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 2008-12-09
1144474768 Jennifer K Workman Pediatrics 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 2008-11-10
Find all providers in zip 84113

Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295908374 Howard Cannon Sharp Obstetrics & Gynecology 2922 Saint Marys Way, Salt Lake City, UT 84108-2044 2008-04-09
1013920677 Patricia Bearnson Obstetrics & Gynecology 4465 S 900 E Ste 275, Salt Lake City, UT 84124-2469 2006-08-14
1699010769 Joanne Sumpio Hinson Md Pllc Obstetrics & Gynecology 24 S 1100 E, Ste 210, Salt Lake City, UT 84102-1500 2012-11-30
1134313323 Phase II Center for Womens Health Obstetrics & Gynecology 348 E 4500 S, Suite 200, Salt Lake City, UT 84107-3906 2007-08-30
1417074865 Elizabeth A Graul Obstetrics & Gynecology 348 E 4500 S, Suite 200, Salt Lake City, UT 84107-3906 2007-03-22
1215061593 University of Utah Dept of Obgyn Urogynecology Obstetrics & Gynecology 50 N Medical Dr, Salt Lake City, UT 84132-0001 2007-03-16
1427193291 William Roy Adams Obstetrics & Gynecology 1345 E 3900 S, #104, Salt Lake City, UT 84124-1474 2007-02-20
1205973070 Barbara Hurst Obstetrics & Gynecology 348 E 4500 S, Suite 200, Salt Lake City, UT 84107-3906 2007-01-31
1972654895 University of Utah Dept of Obgyn Gynecologic Oncology Obstetrics & Gynecology 50 N Medical Dr, Salt Lake City, UT 84132-0001 2007-01-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215212899 Michael Patrick Ranahan Obstetrics & Gynecology 1676 S Agate Cir, Saint George, UT 84790-6109 2011-10-14
1255636981 Frank Jay Keefer Obstetrics & Gynecology 3324 Seven Springs Dr, Sandy, UT 84092-4560 2011-01-11
1073776787 John Clark Nelson Obstetrics & Gynecology 330 Paradiso Ln, Centerville, UT 84014-2826 2008-07-03
1396937140 Anthon E Anderson Obstetrics & Gynecology 5770 So 250 E Suite G-50, Murray, UT 84107 2007-08-15
1518166123 Karen Boheen PC Obstetrics & Gynecology 2132 N 1700 W Ste 300, Layton, UT 84041-7077 2007-07-13
1033184775 Sean F Lynn Obstetrics & Gynecology 965 E 700 S Ste 105, St George, UT 84790-4084 2006-02-17
1093312183 Cherysh Hubbard Stock Obstetrics & Gynecology 5121 S Cottonwood St, Murray, UT 84107-5701 2020-10-02
1568980688 Snow Canyon Womens Center Pllc Obstetrics & Gynecology 965 E 700 S Ste 105, St George, UT 84790-4084 2017-09-08
1902197106 Gynecology Specialists of Utah, LLC Obstetrics & Gynecology 5495 S 500 E, Ogden, UT 84405-6923 2011-04-22
1134435837 George C Gourley, Do Obstetrics & Gynecology 1055 N 300 W, Suite 305, Provo, UT 84604-3344 2010-08-19
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Competitor

Search similar providers

City SALT LAKE CITY
Zip Code 84113

Improve Information

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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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