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UNIVERSITY OF UTAH PEDIATRIC PLASTIC SURGERY
NPI 1003825928
Plastic Surgery in Salt Lake City, UT

Active since August 07, 2006
50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 581-2121 Get Directions Write a Review

NPPES record last updated: April 14, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About University Of Utah Pediatric Plastic Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY OF UTAH PEDIATRIC PLASTIC SURGERY (NPI 1003825928) is a healthcare organization registered as a plastic surgery in Salt Lake City, Utah and active in the NPI registry since August 2006. The organization lists Janell I Madonna, Director Of Contracting And Pe, as its authorized official.

NPPES Registry Identity

NPI1003825928
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameUNIVERSITY OF UTAH PEDIATRIC PLASTIC SURGERY
Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001
Mailing AddressPo Box 58049Salt Lake City, UT 84158-0049 · (801) 581-7073
Phone(801) 581-2121
Organization SubpartNo
Authorized OfficialJanell I MadonnaDirector Of Contracting And Pe · (801) 587-6464
Enumeration DateAugust 7, 2006
Last NPPES UpdateApril 14, 2009
✔ NPI 1003825928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSurgeryTaxonomy 208600000X
50 N MEDICAL DR, Salt Lake City, UT 84132
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Other Identifiers 1

Medicaid=========001UT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OF UTAH ADULT SERVICES
Otolaryngology
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 587-6336
ADAM PORTER MOTR/L
Occupational Therapist
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-2119
DR. ERICA JANE ALEXANDRA COLVIN MD
Emergency Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
MEGAN MEIER MD
Internal Medicine (Rheumatology)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
STACI LEE GUNTER PA-C
Physician Assistant (Surgical)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6908
MATTHEW D. O'DELL MD
Internal Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7899
WATARU HORIGUCHI
Student in an Organized Health Care Education/Training Program
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
JEANELLE WEBB
Registered Nurse
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (925) 510-0868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Of Utah Pediatric Plastic Surgery's NPI number?

The NPI number for University Of Utah Pediatric Plastic Surgery is 1003825928. It was assigned to this organization in the NPPES registry on August 7, 2006.

Where is University Of Utah Pediatric Plastic Surgery located?

University Of Utah Pediatric Plastic Surgery is located at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 581-2121.

What is University Of Utah Pediatric Plastic Surgery's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

What insurance does University Of Utah Pediatric Plastic Surgery accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Utah Pediatric Plastic Surgery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Utah Pediatric Plastic Surgery was last updated on April 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.