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

PEDIATRIX MEDICAL GROUP, INC.
NPI 1194551754
Pediatrics - Neonatal-Perinatal Medicine in Salt Lake City, UT

Active since September 11, 2024
1200 E 3900 S, SALT LAKE CITY, UT 84124(801) 268-7111 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatrix Medical Group, Inc. NPPES

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

PEDIATRIX MEDICAL GROUP, INC. (NPI 1194551754) is a healthcare organization registered as a neonatal-perinatal medicine in Salt Lake City, Utah and active in the NPI registry since September 2024. The organization lists Nanette Sanders, Authorized Officer, as its authorized official.

NPPES Registry Identity

NPI1194551754
Entity TypeOrganization
Primary Taxonomy2080N0001X
Legal Business NamePEDIATRIX MEDICAL GROUP, INC.
Location Address1200 E 3900 SSalt Lake City, UT 84124-1300
Mailing AddressPo Box 840532Dallas, TX 75284-0532 · (877) 737-4546
Phone(801) 268-7111
Organization SubpartNo
Authorized OfficialNanette SandersAuthorized Officer · (800) 463-6628
Enumeration DateSeptember 11, 2024
NPPES CertifiedSeptember 10, 2024
✔ NPI 1194551754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1200 E 3900 S, Salt Lake City, UT 84124
Open in Google Maps ↗

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

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.

MARK POWELL
Occupational Therapist
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7111
MATTHEW L PETERSON MD
Anesthesiology
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 993-9530
DENNIS L. MORRIS MD
Anesthesiology
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 993-9530
MRS. ELIZABETH ANN LOCKWOOD PT
Physical Therapist
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7111
MRS. AMBER LYNNE HARDMAN DNP
Nurse Practitioner (Critical Care Medicine)
1200 E 3900 S
MILLCREEK, UT 84124
Salt Lake County (801) 268-7111
DR. TAMMY KATHRYNE PARK MD
Emergency Medicine
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7975
DR. ADAM C STILES M.D.
Emergency Medicine
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7975
MS. PAULA ANN LARSEN LCSW
Social Worker (Clinical)
1200 E 3900 S
SALT LAKE CITY, UT 84124
Salt Lake County (801) 268-7111

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 Pediatrix Medical Group, Inc.'s NPI number?

The NPI number for Pediatrix Medical Group, Inc. is 1194551754. It was assigned to this organization in the NPPES registry on September 11, 2024.

Where is Pediatrix Medical Group, Inc. located?

Pediatrix Medical Group, Inc. is located at 1200 E 3900 S, Salt Lake City, UT 84124. The listed phone number is (801) 268-7111.

What is Pediatrix Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Pediatrix Medical Group, Inc. was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.