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PEDIATRIC PULMONOLOGY DEPARTMENT OF UNIVERSITY OF UTAH
NPI 1255428314
Pediatrics - Pediatric Pulmonology in Salt Lake City, UT

Active since October 09, 2006
100 N MEDICAL DR, PEDIATRIC PULMONOLOGY, SALT LAKE CITY, UT 84113(801) 588-2621(801) 588-2640 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Pulmonology Department Of University Of Utah NPPES

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

PEDIATRIC PULMONOLOGY DEPARTMENT OF UNIVERSITY OF UTAH (NPI 1255428314) is a healthcare organization registered as a pediatric pulmonology in Salt Lake City, Utah and active in the NPI registry since October 2006. The organization lists Edward B Clark, Chair, as its authorized official.

NPPES Registry Identity

NPI1255428314
Entity TypeOrganization
Primary Taxonomy2080P0214X
Legal Business NamePEDIATRIC PULMONOLOGY DEPARTMENT OF UNIVERSITY OF UTAH
Location Address100 N MEDICAL DR, PEDIATRIC PULMONOLOGYSalt 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) 588-2621
Fax(801) 588-2640
Organization SubpartNo
Authorized OfficialEdward B ClarkChair · (801) 587-7400
Enumeration DateOctober 9, 2006
Last NPPES UpdateSeptember 6, 2011
✔ NPI 1255428314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Also ListedPediatricsTaxonomy 208000000X
100 N MEDICAL DR, Salt Lake City, UT 84113
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Other Identifiers 5

Medicaid121229000WY
Medicaid807149200ID
Medicare ID-Type Unspecified000057972UT
Medicaid=========001UT
Medicaid100507112NV

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
UNIVERSITY OF UTAH GENERAL PEDIATRICS
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 588-2233
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

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 Pulmonology Department Of University Of Utah's NPI number?

The NPI number for Pediatric Pulmonology Department Of University Of Utah is 1255428314. It was assigned to this organization in the NPPES registry on October 9, 2006.

Where is Pediatric Pulmonology Department Of University Of Utah located?

Pediatric Pulmonology Department Of University Of Utah is located at 100 N Medical Dr Pediatric Pulmonology, Salt Lake City, UT 84113. The listed phone number is (801) 588-2621.

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

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

What insurance does Pediatric Pulmonology 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 Pulmonology 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 Pulmonology Department Of University Of Utah was last updated on September 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.