UNIVERSITY OF UTAH (NPI# 1801181631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801181631 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH |
| Other Organization Name | DEPT OF NEUROSURGERY |
| Practice Address |
175 N Medical Dr Salt Lake City UT 84132-0001 |
| Practice Telephone | 8015816908 |
| Practice Fax Number | 8015814385 |
| Mailing Telephone | 8015816908 |
| Mailing Fax Number | 8015814385 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |
| Authorized Official Name | DR. WILLIAM T COULDWELL (PROFESSOR AND CHAIRMAN) |
| Authorized Official Telephone | 8015816908 |
| Authorized Official Credential | MD, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 190104-3102 | UT | Hospitals |
| Other Name | Type Code |
|---|---|
| Dept of neurosurgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1790147833 | University of Utah | Pharmacy | 6056 S Fashion Square Dr Ste 1000, Suite 1000, Murray, UT 84107-5410 | 2016-03-28 |
| 1205215076 | University of Utah | General Acute Care Hospital | 30 N 1900 E # 4a100, Salt Lake City, UT 84132-0002 | 2015-05-26 |
| 1104115476 | University of Utah | General Acute Care Hospital | 470 N Harbor Dr Nw, Atlanta, GA 30328-2751 | 2011-04-07 |
| 1275838575 | University of Utah | Pharmacy | 4696 Daybreak Rim Way, South Jordan, UT 84095-5129 | 2011-01-18 |
| 1518011584 | University of Utah | General Acute Care Hospital | 03730 W 4700 S, West Valley, UT 84108 | 2007-01-23 |
| 1023107612 | University of Utah | Pharmacy | 145 W 1300 S, Orem, UT 84058-7316 | 2006-10-12 |
| 1932298528 | University of Utah | Pharmacy | 555 S Foothill Blvd, Suite 396, Salt Lake City, UT 84112-1106 | 2006-10-12 |
| 1295824886 | University of Utah | Pharmacy | 65 S Mario Capecchi Dr, Suite 2430, Salt Lake City, UT 84132-0005 | 2006-10-12 |
| 1306883954 | University of Utah | Durable Medical Equipment & Medical Supplies | 6056 S Fashion Square Dr, Suite 1100, Murray, UT 84107-7355 | 2006-06-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | University of Utah Health Plans | 6053 Fashion Square Drive, Suite 110, Murray, UT 84107 |
| System for Award Management (SAM) Entities | UNIVERSITY OF UTAH HOSPITALS AND CLINICS | 50 North Medical Dr, Salt Lake City, UT 84132-0001 |
| System for Award Management (SAM) Entities | UNIVERSITY OF UTAH, THE | 201 Presidents Cir, Salt Lake City, UT 84112-9049 |
| Street Address |
175 N MEDICAL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84132-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487897898 | Adam Helme De Havenon | Psychiatry & Neurology | 175 N Medical Dr, East 5th Floor, Salt Lake City, UT 84132-5901 | 2009-04-15 |
| 1578967345 | University of Utah Adult Services | Psychiatry & Neurology | 175 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1184028243 | University of Utah Surgical Services | Neurological Surgery | 175 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-20 |
| 1316341456 | University of Utah Acuity Care Services | Neurological Surgery | 175 N Medical Dr, Salt Lake City, UT 84132-5901 | 2014-10-17 |
| 1386080935 | Brian Jeremy Marcus | Internal Medicine | 175 N Medical Dr, Salt Lake City, UT 84132-3833 | 2013-05-21 |
| 1659628394 | University of Utah Neuro Critical Care | Psychiatry & Neurology | 175 N Medical Dr, Salt Lake City, UT 84132-5901 | 2012-08-13 |
| 1831475748 | Langley L Kushman | Physician Assistant | 175 N Medical Dr, Salt Lake City, UT 84132-5901 | 2011-10-25 |
| 1063738821 | Ligia V Onofrei | Psychiatry & Neurology | 175 N Medical Dr, Salt Lake City, UT 84132-0100 | 2010-04-19 |
| 1104141647 | Marcus Mazur | Neurological Surgery | 175 N Medical Dr, Salt Lake City, UT 84132-0002 | 2010-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162331 | Scott Andrew Rizzi | Student in an Organized Health Care Education/Training Program | 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 | 2020-04-02 |
| 1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
| 1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
| 1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
| 1912350083 | Gmaan Alzhrani | Student in an Organized Health Care Education/Training Program | 175 N. Medical Drive East , Salt Lake City, UT 84132 | 2016-07-13 |
| 1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
| 1891179024 | Bong Jik Kim | Student in an Organized Health Care Education/Training Program | 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 | 2015-07-17 |
| 1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
| 1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
| 1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
| Find all providers in zip 84132 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124208343 | Gateway Aestheetic Institute& Laser Center | Special Hospital | 440 W 200 S Ste 250, Salt Lake City, UT 84101-1462 | 2007-11-05 |
| 1649470113 | New Life Centers | Special Hospital | 1255 E 3900 S Ste 300, Salt Lake City, UT 84124-1389 | 2007-07-23 |
| 1023306297 | Slc Va Medical Center | Special Hospital | 500 Foothill Drive, Salt Lake City, UT 84148 | 2011-07-21 |
| 1104075092 | Victoria Serpico | Special Hospital | 1950 Circle of Hope, Suite Number 6500, Salt Lake City, UT 84112 | 2008-09-16 |
| 1598801300 | Mary Lampas | Special Hospital | 1950 Circle of Hope Dr, Suite 2110, Salt Lake City, UT 84112-5500 | 2007-01-29 |
| 1538271861 | Christopher Burr Dechet | Special Hospital | 1950 Circle of Hope Dr, Rm 6755, Salt Lake City, UT 84112-5500 | 2006-08-31 |
| 1568494060 | Va Health Care System, Salt Lake City, Ut | Special Hospital | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093189839 | St. George Detox Center LLC | Special Hospital | 120 W 1470 S Bldg B, St George, UT 84770-6798 | 2015-11-17 |
| 1831505874 | Shadow Mountain LLC. | Special Hospital | 120 W. 1470 South, Building B, St. George, UT 84770 | 2014-07-10 |
| 1063754893 | Trenton Lyle Neal | Special Hospital | 308 W 7200 S, Midvale, UT 84047-1041 | 2013-03-19 |
| 1629411020 | Valerie Price | Special Hospital | 9414 S 1335 E, Sandy, UT 84092-2947 | 2013-04-16 |
| 1780926592 | Deborah Deann Rowley | Special Hospital | 308 W 7200 S, Midvale, UT 84047-1041 | 2013-03-19 |
| 1215294228 | Hyrum John Kerbs | Special Hospital | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2012-04-13 |
| 1609886126 | Ihc Health Services Inc. | Special Hospital | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2006-08-08 |
| City | SALT LAKE CITY |
| Zip Code | 84132 |
Please comment or provide details below to improve the information on UNIVERSITY OF UTAH.
| 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.