UNIVERSITY OF UTAH SURGICAL ASSOCIATES


Address: 50 N Medical Dr, Salt Lake City, UT 84132-0001
Phone: 8015812121

UNIVERSITY OF UTAH SURGICAL ASSOCIATES (NPI# 1831108166) 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) 1831108166
Entity Type Organization
Organization Name UNIVERSITY OF UTAH SURGICAL ASSOCIATES
Practice Address 50 N Medical Dr
Salt Lake City
UT 84132-0001
Mailing Address Po Box 413035
Salt Lake City
UT 84141-0001
Practice Telephone 8015812121
Mailing Telephone 8012133800
Enumeration Date 2006-08-05
Last Update Date 2009-04-14
Authorized Official Name JANELL I MADONNA (DIRECTOR OF CONTRACTING AND PE)
Authorized Official Telephone 8015876464
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2086S0102X Surgery
Specialization: Surgical Critical Care
Allopathic & Osteopathic Physicians
N 2086S0120X Surgery
Specialization: Pediatric Surgery
Allopathic & Osteopathic Physicians
N 2086S0127X Surgery
Specialization: Trauma Surgery
Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
Physician Assistants & Advanced Practice Nursing Providers
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ID 003064900 05

Office Location

Street Address 50 N MEDICAL DR
City SALT LAKE CITY
State UT
Zip Code 84132-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477555696 Yaw Ababio Boateng Internal Medicine 50 N Medical Dr, Salt Lake City, UT 84132-0100 2005-06-01
1073114864 Stephanie Bevill Registered Nurse 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-11-06
1609477801 Justin Larson Physical Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-11-04
1366042467 Kirsty Aleah Vannoy Occupational Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-10-28
1629675673 Erica Kueneman Nurse Practitioner 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-10-02
1487266680 Michelle A Barker Physical Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-08-19
1770195943 Lisa M Schaeffer Nurse Practitioner 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-08-19
1194336289 Michelle Rios Physical Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-08-12
1932710027 Tanner Ladsten Physical Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-08-12
1578174660 Rachel Sette Occupational Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-08-12
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699327684 Walter S Medlin Md PC Surgery 1046 E 100 S Ste A, Salt Lake City, UT 84102-1520 2019-07-10
1912439530 Meghan Eileen Mali Surgery University of Utah Hospital General Surgery, 30 N. 1900 E., Salt Lake City, UT 84132-0001 2017-04-02
1124438924 James Glen O'loughlin Surgery 30 N 1900 E Rm 3b324, Salt Lake City, UT 84132-0001 2014-05-01
1639457542 August Robert Bauer Jr. Surgery 3115 East Lion Lane, Suite 160, Salt Lake City, UT 84121 2011-07-26
1154611986 Anthony Wayne Bacon Surgery 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002 2011-04-13
1902109549 Bariatric Medicine Institute Surgery 1046 E. 100 S., Salt Lake City, UT 84102 2010-12-20
1235468471 J Barry Robb Md Professional Corporation Surgery 1220 E 3900 S Ste 3f, Salt Lake City, UT 84124-1326 2009-12-17
1609020130 Alexander Wojciech Pastuszak Surgery 30 N 1900 E Dept Of, Salt Lake City, UT 84132-0002 2008-11-11
1326209735 Scott Short Surgery 100 N Mario Capecchi Dr Ste 3800, Salt Lake City, UT 84113-1103 2008-06-18
1003076779 Gregory Lawrence Livers Surgery 129 F St, Salt Lake City, UT 84103-2601 2008-06-16
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Competitor

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City SALT LAKE CITY
Zip Code 84132

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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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