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PEDIATRIC CARDIOLOGY DEPARTMENT OF UNIVERSITY OF UTAH
NPI 1114096195
Pediatrics - Pediatric Cardiology in Salt Lake City, UT

Active since November 06, 2006
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-5400(801) 662-5404 Get Directions Write a Review

NPPES record last updated: September 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Cardiology Department Of University Of Utah NPPES

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

PEDIATRIC CARDIOLOGY DEPARTMENT OF UNIVERSITY OF UTAH (NPI 1114096195) is a healthcare organization registered as a pediatric cardiology in Salt Lake City, Utah and active in the NPI registry since November 2006. The organization lists Edward B Clark, Dept Chair, as its authorized official.

NPPES Registry Identity

NPI1114096195
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NamePEDIATRIC CARDIOLOGY DEPARTMENT OF UNIVERSITY OF UTAH
Location Address100 MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing Address295 Chipeta Way, U Of U Som Dept Of PediatricsSalt Lake City, UT 84108-1220 · (801) 587-7400 · Fax (801) 587-7417
Phone(801) 662-5400
Fax(801) 662-5404
Organization SubpartNo
Authorized OfficialEdward B ClarkDept Chair · (801) 587-7400
Enumeration DateNovember 6, 2006
Last NPPES UpdateSeptember 15, 2009
✔ NPI 1114096195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X
100 MARIO CAPECCHI DR, Salt Lake City, UT 84113
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Other Identifiers 8

Medicaid22001832CO
Medicaid807148600ID
Medicaid100507101NV
Medicaid121313000WY
Medicare ID-Type Unspecified000057976UT
Medicaid=========001UT
Medicaid200817950AIN
Medicaid200065910AOK

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.

KAITLIN CARPENTER
Pediatrics
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
DR. NICOLE JEFFREYS MD
Anesthesiology (Pediatric Anesthesiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3578
SARAH ZOBELL NP
Nurse Practitioner (Pediatrics)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1619
MRS. GIOVANA MARTENDAL KING NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4100
DR. STEVEN SHI-FONG WU
Pediatrics (Pediatric Gastroenterology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2900
KRISTA SKYE VIAU MS, RD, CSP, CD
Dietitian, Registered (Nutrition, Metabolic)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-9590
DR. ANDREW GERALD SMITH M.D.
Pediatrics (Pediatric Critical Care Medicine)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3673
MARY HUNT MARTIN MD
Pediatrics (Pediatric Cardiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5400

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 Pediatric Cardiology Department Of University Of Utah's NPI number?

The NPI number for Pediatric Cardiology Department Of University Of Utah is 1114096195. It was assigned to this organization in the NPPES registry on November 6, 2006.

Where is Pediatric Cardiology Department Of University Of Utah located?

Pediatric Cardiology Department Of University Of Utah is located at 100 Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-5400.

What is Pediatric Cardiology Department Of University Of Utah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

What insurance does Pediatric Cardiology Department Of University Of Utah accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pediatric Cardiology Department Of University Of Utah 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 Pediatric Cardiology Department Of University Of Utah was last updated on September 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.