1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Pediatrics
  6. NPI Profile

UNIVERSITY OF UTAH GENERAL PEDIATRICS
NPI 1023051166
Pediatrics in Salt Lake City, UT

Active since June 14, 2006
100 N MEDICAL DR, SALT LAKE CITY, UT 84113(801) 588-2233(801) 588-2236 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About University Of Utah General Pediatrics NPPES

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

UNIVERSITY OF UTAH GENERAL PEDIATRICS (NPI 1023051166) is a healthcare organization registered as a pediatrics in Salt Lake City, Utah and active in the NPI registry since June 2006. The organization lists Edward B Clark, Chair, as its authorized official.

NPPES Registry Identity

NPI1023051166
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameUNIVERSITY OF UTAH GENERAL PEDIATRICS
Location Address100 N MEDICAL DRSalt Lake City, UT 84113-1103
Mailing Address295 Chipeta Way, Peds AdminSalt Lake City, UT 84108-1220 · (801) 587-7400 · Fax (801) 587-7417
Phone(801) 588-2233
Fax(801) 588-2236
Organization SubpartNo
Authorized OfficialEdward B ClarkChair · (801) 587-7400
Enumeration DateJune 14, 2006
Last NPPES UpdateSeptember 6, 2011
✔ NPI 1023051166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

100 N MEDICAL DR, Salt Lake City, UT 84113
Open in Google Maps ↗

Other Identifiers 7

Medicaid122032200WY
Medicaid47157844CO
Medicaid7116627WA
Medicaid=========000UT
Medicare ID-Type Unspecified000055821UT
Medicaid805687000ID
Medicaid100501970NV

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.

MRS. LISA ANN RUNYON CPNP
Nurse Practitioner (Pediatrics)
100 N MEDICAL DR, TRAUMA SERVICES
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2993
KATHERINE A HUGHES OT
Occupational Therapist
100 N MEDICAL DR
SLC, UT 84113
Salt Lake County (801) 588-2000
LINDA M LAMBERT A.P.R.N.
Nurse Practitioner
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MS. ANN A. K. KAMP APRN
Nurse Practitioner (Neonatal)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
DR. TYSON STUART HORKLEY M.D.
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 267-1855
MS. DEBRA ANN TEMPLIN NP
Nurse Practitioner (Pediatrics, Critical Care)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2447
BONNIE ANN CLAY CPNP
Nurse Practitioner (Pediatrics)
100 N MEDICAL DR, 2800
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5566
DR. RICHARD S BOYER MD
Radiology (Pediatric Radiology)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1900

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 General Pediatrics's NPI number?

The NPI number for University Of Utah General Pediatrics is 1023051166. It was assigned to this organization in the NPPES registry on June 14, 2006.

Where is University Of Utah General Pediatrics located?

University Of Utah General Pediatrics is located at 100 N Medical Dr, Salt Lake City, UT 84113. The listed phone number is (801) 588-2233.

What is University Of Utah General Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does University Of Utah General Pediatrics accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Utah General Pediatrics 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 General Pediatrics was last updated on September 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.