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).
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 |
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 Name | Type Code |
---|---|
Peds OB/Gyn Specialty Division | 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 |
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 |
Street Address |
100 N MARIO CAPECCHI DR |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84113-1103 |
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 |
Find all providers in the same location |
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 Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
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 |
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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City | SALT LAKE CITY |
Zip Code | 84113 |
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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.