PAUL KRAKOVITZ


Address: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103
Phone: 8012133599

PAUL KRAKOVITZ (NPI# 1750346607) 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) 1750346607
Entity Type Individual
Full Name PAUL KRAKOVITZ
Credential MD
Practice Address 100 N Mario Capecchi Dr
Salt Lake City
UT 84113-1103
Mailing Address 100 N Mario Capecchi Dr Ste 1450
Salt Lake City
UT 84113-1103
Practice Telephone 8012133599
Mailing Telephone 8016621740
Enumeration Date 2006-04-20
Last Update Date 2018-04-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Y00000X Otolaryngology 35081306K OH Allopathic & Osteopathic Physicians
Y 207YP0228X Otolaryngology
Specialization: Pediatric Otolaryngology
10544333-1205 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 2363740 05

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
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
1104455930 Kelsey Wild 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2020-04-03
Find all providers in the same location

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 207YP0228X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Pediatric Otolaryngology

Taxonomy Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063876100 University of Utah Pediatric Services Otolaryngology 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2016-04-05
1285074617 Melanie Duval Otolaryngology 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2013-06-29
1477643070 Johannes Fredrik Grimmer Otolaryngology 100 N Medical Dr, Suite 4500, Salt Lake City, UT 84113-1103 2006-10-13
1972693596 Albert H. Park Otolaryngology 100 N Medical Dr, Suite 4500, Salt Lake City, UT 84113-1103 2006-10-13
1255421863 Harlan Ray Muntz Otolaryngology 100 N Medical Dr, Salt Lake City, UT 84113-1103 2006-10-13
1508875857 University of Utah Otolaryngology Pediatrics Otolaryngology 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2006-08-05
1417986209 University Ear Nose and Throat Associates Otolaryngology 50 N Medical Dr, Salt Lake City, UT 84132-0001 2006-07-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134355225 Phillip Lee Chaffin Jr. Otolaryngology 1055 N 300 W, Ste 401, Provo, UT 84604-3306 2009-06-03
1841348240 Steven Michael Kelly Otolaryngology 1551 Renaissance Towne Dr, Suite 310, Bountiful, UT 84010-7667 2007-01-08

Competitor

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City SALT LAKE CITY
Zip Code 84113

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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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