DR. SHAD OUTSEN M.D.
NPI 1487815536
Pediatrics - Pediatric Critical Care Medicine in Provo, UT
- Individual
- Male
- Pediatrics
- Pediatric Critical Care Medicine
- PECOS Enrolled
About SHAD OUTSEN
This page provides the complete NPI Profile along with additional information for Shad Outsen, a pediatrician established in Provo, Utah with a medical specialization in Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1487815536 assigned on June 2008. The practitioner's primary taxonomy code is 2080P0203X with license number 7365706-1205 (UT). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1487815536 Verify this NPI
- Provider Name
- DR. SHAD OUTSEN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1034 N 500 W PROVO, UT 84604
- Location Phone
- (801) 357-7481
- Mailing Address
- PO BOX 27128 SALT LAKE CITY, UT 84127
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-21-2008
- Last Update Date
- 04-25-2022
- Code Navigator
A pediatrician like Shad Outsen is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Critical Care Medicine
- Taxonomy Code
- 2080P0203X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 7365706-1205
- License State
- UT
- Taxonomy Description
- A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Medicare Participation & PECOS Enrollment Status
Shad Outsen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PROVO, UT 84604
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487815536, enumerated as an "individual" on June 21, 2008.
The provider is located at 1034 N 500 W PROVO, UT 84604 and the phone number is (801) 357-7481.
Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.
