OBSTETRIX MEDICAL GROUP OF UTAH, PC
NPI 1457627507
Obstetrics & Gynecology - Maternal & Fetal Medicine in Salt Lake City, UT

Active since March 22, 2012CLIA 46D2051402 · Waiver
1140 E 3900 S, STE 390, SALT LAKE CITY, UT 84124(801) 743-4700(801) 743-4705 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Obstetrix Medical Group Of Utah, Pc NPPES

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

OBSTETRIX MEDICAL GROUP OF UTAH, PC (NPI 1457627507) is a healthcare organization registered as a maternal & fetal medicine in Salt Lake City, Utah and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through December 17, 2026 and lists Nanette Sanders, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1457627507
Entity TypeOrganization
Primary Taxonomy207VM0101X
Legal Business NameOBSTETRIX MEDICAL GROUP OF UTAH, PC
Location Address1140 E 3900 S, STE 390Salt Lake City, UT 84124-1228
Mailing Address1301 Concord TerSunrise, FL 33323-2843 · (800) 243-3839 · Fax (954) 858-0434
Fax(801) 743-4705
Organization SubpartNo
Authorized OfficialNanette SandersAssistant Secretary · (954) 384-0175
Enumeration DateMarch 22, 2012
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
NPI 1457627507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

1140 E 3900 S, Salt Lake City, UT 84124

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2051402
Facility Type
Physician Office
Certificate Effective Date
December 18, 2024
Certificate Expiration Date
December 17, 2026
Laboratory Director
ROBERT H. BALL MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Obstetrix Medical Group Of Utah, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics (Neonatal-Perinatal Medicine)
1140 E 3900 S
SALT LAKE CITY, UT 84124
Pediatrics (Neonatal-Perinatal Medicine)
1140 E 3900 S
SALT LAKE CITY, UT 84124
Pediatrics
1140 E 3900 S, #360
SALT LAKE CITY, UT 84124
Obstetrics & Gynecology
1140 E 3900 S, SUITE 410
SALT LAKE CITY, UT 84124
Obstetrics & Gynecology
1140 E 3900 S, SUITE 410
SALT LAKE CITY, UT 84124
Internal Medicine
1140 E 3900 S, SUITE 400
SALT LAKE CITY, UT 84124
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1140 E 3900 S, SUITE 390
SALT LAKE CITY, UT 84124
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1140 E 3900 S, SUITE 390
SALT LAKE CITY, UT 84124
Nurse Practitioner
1140 E 3900 S, SUITE 340
SALT LAKE CITY, UT 84124
Physician Assistant
1140 E 3900 S, 360
SALT LAKE CITY, UT 84124
Genetic Counselor, MS
1140 E 3900 S, ST. MARK'S HOSPITAL
SALT LAKE CITY, UT 84124
Pediatrics
1140 E 3900 S, #360
SALT LAKE CITY, UT 84124
Pediatrics
1140 E 3900 S, #360
SALT LAKE CITY, UT 84124
Pediatrics
1140 E 3900 S, #360
SALT LAKE CITY, UT 84124
Pediatrics
1140 E 3900 S, #360
SALT LAKE CITY, UT 84124
Pediatrics
1140 E 3900 S
SALT LAKE CITY, UT 84124
Specialist
1140 E 3900 S, SUITE 300
SALT LAKE CITY, UT 84124
Obstetrics & Gynecology
1140 E 3900 S, SUITE 410
SALT LAKE CITY, UT 84124
Obstetrics & Gynecology (Gynecologic Oncology)
1140 E 3900 S, STE 340
SALT LAKE CITY, UT 84124
Pediatrics (Neonatal-Perinatal Medicine)
1140 E 3900 S
SALT LAKE CITY, UT 84124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457627507, enumerated as an "organization" on March 22, 2012.

The provider is located at 1140 E 3900 S STE 390 SALT LAKE CITY, UT 84124 and the phone number is (801) 743-4700.

Obstetrics & Gynecology with taxonomy code 207VM0101X and a focus in Maternal & Fetal Medicine.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.