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PEDIATRIC OTOLARYNGOLOGY
NPI 1063876100
Otolaryngology - Pediatric Otolaryngology in Salt Lake City, UT

Active since April 05, 2016
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 587-6336 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2021, May 21, 2020, Dec 14, 2019 and 2 more (5 updates tracked since 2016).

About Pediatric Otolaryngology NPPES

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

PEDIATRIC OTOLARYNGOLOGY (NPI 1063876100) is a healthcare organization registered as a pediatric otolaryngology in Salt Lake City, Utah and active in the NPI registry since April 2016. The organization lists Samuel Finlayson, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1063876100
Entity TypeOrganization
Primary Taxonomy207YP0228X
Legal Business NameUNIVERSITY OF UTAH PEDIATRIC SERVICES
Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing AddressPo Box 841450Los Angeles, CA 90084-1450 · (801) 213-3900
Phone(801) 587-6336
Organization SubpartYes
Authorized OfficialSamuel FinlaysonChief Clinical Officer · (801) 587-6336
Enumeration DateApril 5, 2016
Last NPPES UpdateJanuary 22, 20215 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1063876100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113
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Other Names 1

Doing Business AsPediatric Otolaryngology

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 BridgeSpan Health Company, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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.

KEEGAN MARIE RYAN PT, DPT
Physical Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4980
IHC HEALTH SERVICES INC
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MADELINE ANN THAYER NP
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3600
DR. JEFFREY S PRINCE MD
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 487-0451
MICHELLE PLOUTZ
Pediatrics (Pediatric Cardiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
ALICIA DONALDSON APRN
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
HANNAH MARIE WINEBAUM MS, OTR/L
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MARK EDWARD HAMAKER M.D.
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-3922

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 Services's NPI number?

The NPI number for University Of Utah Pediatric Services is 1063876100. It was assigned to this organization in the NPPES registry on April 5, 2016. The provider is doing business as Pediatric Otolaryngology.

Where is University Of Utah Pediatric Services located?

University Of Utah Pediatric Services is located at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 587-6336.

What is University Of Utah Pediatric Services's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

What insurance does University Of Utah Pediatric Services accept?

Health plans from BridgeSpan Health Company, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Regence BlueCross BlueShield of Utah and 1 other insurer list University Of Utah Pediatric Services 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 Services was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.