UNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY
NPI 1417068271
Neurological Surgery in Salt Lake City, UT

Active since August 31, 2006
100 N MEDICAL DR, SUITE 2400, SALT LAKE CITY, UT 84113(801) 588-3400(801) 588-3409 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About University Of Utah Division Of Pediatric Neurosurgery NPPES

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

UNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY (NPI 1417068271) is a healthcare organization registered as a neurological surgery in Salt Lake City, Utah and active in the NPI registry since August 2006. The organization lists William T Couldwell, Dept Chair, as its authorized official.

NPPES Registry Identity

NPI1417068271
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameUNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY
Location Address100 N MEDICAL DR, SUITE 2400Salt Lake City, UT 84113-1103
Mailing Address50 N Medical Dr, 3b409-somSalt Lake City, UT 84132-0001 · (801) 581-6909 · Fax (801) 581-4385
Fax(801) 588-3409
Organization SubpartNo
Authorized OfficialWilliam T CouldwellDept Chair · (801) 581-6909
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 6, 2011
NPI 1417068271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X
100 N MEDICAL DR, Salt Lake City, UT 84113

Other Identifiers 11

Medicaid29584205CO
Medicaid100501144NV
Medicaid116059100WY
Medicaid=========001UT
Medicaid837253NM
Medicaid7123755WA
Medicare ID-Type Unspecified000008058UT
Medicaid100389310AIN
MedicaidX9X042036TX
Medicaid003073800ID
Medicaid200019110AOK

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

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.

Nurse Practitioner (Pediatrics)
100 N MEDICAL DR, TRAUMA SERVICES
SALT LAKE CITY, UT 84113
Occupational Therapist
100 N MEDICAL DR
SLC, UT 84113
Nurse Practitioner
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Neonatal)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Pediatrics, Critical Care)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Pediatrics)
100 N MEDICAL DR, 2800
SALT LAKE CITY, UT 84113

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 Division Of Pediatric Neurosurgery's NPI number?

The NPI number for University Of Utah Division Of Pediatric Neurosurgery is 1417068271. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is University Of Utah Division Of Pediatric Neurosurgery located?

University Of Utah Division Of Pediatric Neurosurgery is located at 100 N Medical Dr Suite 2400, Salt Lake City, UT 84113. The listed phone number is (801) 588-3400.

What is University Of Utah Division Of Pediatric Neurosurgery's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

What insurance does University Of Utah Division Of Pediatric Neurosurgery accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Utah Division Of Pediatric Neurosurgery 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 Division Of Pediatric Neurosurgery 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.