UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE


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

UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE (NPI# 1770947814) 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) 1770947814
Entity Type Organization
Organization Name UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE
Other Organization Name PEDIATRIC NEONATOLOGY
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 2016-04-05
Last Update Date 2020-05-20
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 ACUITY CARE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Pediatric Neonatology Doing Business As Name - Organization

Other Provider IDs and Locations

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
1619325131 University of Utah Pediatric Acuity Care Pediatrics 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2016-05-25
1376907410 University of Utah Pediatric Acuity Care Pediatrics 3741 W 12600 S, Riverton, UT 84065-7215 2016-04-05
1538523675 University of Utah Pediatric Acuity Care Pediatrics 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2016-04-05
1558723445 University of Utah Pediatric Acuity Care Psychiatry & Neurology 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2016-03-22
1891156741 University of Utah Pediatric Acuity Care Pediatrics 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2016-03-18

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
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
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760481162 Timothy Robert Lapine Pediatrics 1140 E 3900 S, Salt Lake City, UT 84124-1228 2005-07-18
1356876858 Allison M. Fisher Pediatrics 295 S Chipeta Way, Salt Lake City, UT 84132-1287 2017-04-22
1427580794 Ariel Tarrell Pediatrics 295 S Chipeta Way, Salt Lake City, UT 84132-1287 2017-03-28
1003366766 Anastasiya Mankouski Pediatrics 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 2016-10-06
1235591876 Whitley Hulse Pediatrics 295 S Chipeta Way, Salt Lake City, UT 84132-1287 2016-03-23
1013322494 Matthew Douglass Pediatrics 50 N Medical Dr, Salt Lake City, UT 84132-5524 2014-06-24
1265850952 Kristina Gulliver Pediatrics 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2014-03-31
1346538808 Carrie Beth Torr Pediatrics 295 S Chipeta Way, Salt Lake City, UT 84108-1287 2011-07-19
1134416183 Sabrina Renee Malone Jenkins Pediatrics 295 S Chipeta Way, Salt Lake City, UT 84108-1287 2011-06-28
1083843262 Restorative Health Center LLC Pediatrics 2150 S 1300 E, Suite 500, Salt Lake City, UT 84106-4333 2009-07-08
Find all providers in SALT LAKE CITY

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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