INTERMOUNTAIN PEDIATRIC CLINIC


Address: 508 E South Temple, Suite 310, Salt Lake City, UT 84102-1013
Phone: 8013554316

INTERMOUNTAIN PEDIATRIC CLINIC (NPI# 1740499433) 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) 1740499433
Entity Type Organization
Organization Name INTERMOUNTAIN PEDIATRIC CLINIC
Practice Address 508 E South Temple
Suite 310
Salt Lake City
UT 84102-1013
Practice Telephone 8013554316
Practice Fax Number 8013556267
Mailing Telephone 8013554316
Mailing Fax Number 8013556267
Enumeration Date 2007-05-21
Last Update Date 2020-08-22
Authorized Official Name MS. SUSAN HARRIS (OFFICE MANAGER)
Authorized Official Telephone 8013554316
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080H0002X Pediatrics
Specialization: Hospice and Palliative Medicine
19920633 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 508 E SOUTH TEMPLE
SUITE 310
City SALT LAKE CITY
State UT
Zip Code 84102-1013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346219243 Sally Sue Burgin Social Worker 508 E South Temple, #a 30, Salt Lake City, UT 84102-1013 2006-03-15
1538462874 Becky Bailey, Ph.d., PC Psychologist 508 E South Temple, #225, Salt Lake City, UT 84102-1013 2010-12-08
1073840963 Kathleen K Lindsay Nurse Practitioner 508 E South Temple, Suite 310, Salt Lake City, UT 84102-1013 2009-11-12
1053548214 Ronda Joy Miller-ernest Nurse Practitioner 508 E South Temple, 310, Salt Lake City, UT 84102-1013 2009-06-16
1508036898 Anne Freed Goldberg Social Worker 508 E South Temple, Suite 206, Salt Lake City, UT 84102-1013 2008-03-03
1124228168 Scott Bryan Hair Dentist 508 E South Temple, Suite 126, Salt Lake City, UT 84102-1013 2007-07-18
1275743429 Chandra Fenwick Counselor 508 E South Temple, Suite 201, Salt Lake City, UT 84102-1013 2007-05-23
1205041894 Sidne Jones Nurse Practitioner 508 E South Temple, Suite 206, Salt Lake City, UT 84102-1013 2007-05-14
1477676112 Paul H. Swensen Pediatrics 508 E South Temple, Suite 310, Salt Lake City, UT 84102-1013 2007-04-09
1538281050 Alan N Lindsay Pediatrics 508 E South Temple, Suite 310, Salt Lake City, UT 84102-1013 2007-04-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942818604 Wendy Vazquez Behavior Technician 515 S 700 E Suit 2a, Salt Lake City, UT 84102 2020-07-20
1407481245 Odyssey House Inc Family Medicine 743 E 300 S, Salt Lake City, UT 84102 2020-03-11
1093359960 Hayle Mayer Behavior Technician 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 2019-11-04
1326680869 Ronald Mcdonald House of The Intermountain Area Meals 935 E. South Temple, Salt Lake City, UT 84102 2019-10-16
1508419581 Claire Pemberton Behavior Technician 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 2019-07-19
1558923144 Olivia Anne Hardwick Social Worker Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 2019-07-03
1649741802 Colten Vancampen Behavior Technician 515 S 700 E #2a, Salt Lake City, UT 84102 2018-12-16
1457847964 Utah Podiatry Group PC Podiatrist 24 S 1100 E Ste 120, Salt Lake City, UT 84102 2018-07-09
1104311661 Malorey Kooyman Behavior Technician 515 700 East, Suite 2a, Salt Lake City, UT 84102 2018-06-27
1700384930 Utah Podiatry Group PC Podiatrist 82 S 1100 E Ste 301, Salt Lake City, UT 84102 2018-01-23
Find all providers in zip 84102

Taxonomy Information

Taxonomy Code 2080H0002X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Hospice and Palliative Medicine

Taxonomy Definition

A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851898365 University of Utah Pediatric Acuity Care Pediatrics 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2018-04-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881656106 David Okubo Pediatrics 1995 W 9000 S, West Jordan, UT 84088-9345 2006-04-03
1366654535 Stansbury Pediatrics, Inc Pediatrics 210 Millpond, Stansbury Park, UT 84074 2007-05-03
1952363285 Jeffery B. Jackson Pediatrics 1995 W 9000 S, West Jordan, UT 84088-9345 2006-04-03

Competitor

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City SALT LAKE CITY
Zip Code 84102

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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