PEDIATRIC BONE MARROW TRANSPLANT DEPARTMENT OF UNIVERSITY OF UTAH
NPI 1568474773
Pediatrics - Pediatric Hematology-Oncology in Salt Lake City, UT

Active since August 13, 2006
100 N MEDICAL DR, SALT LAKE CITY, UT 84113(801) 662-4700(801) 662-4705 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Bone Marrow Transplant Department Of University Of Utah NPPES

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

PEDIATRIC BONE MARROW TRANSPLANT DEPARTMENT OF UNIVERSITY OF UTAH (NPI 1568474773) is a healthcare organization registered as a pediatric hematology-oncology in Salt Lake City, Utah and active in the NPI registry since August 2006. The organization lists Edward B Clark, Chair, as its authorized official.

NPPES Registry Identity

NPI1568474773
Entity TypeOrganization
Primary Taxonomy2080P0207X
Legal Business NamePEDIATRIC BONE MARROW TRANSPLANT DEPARTMENT OF UNIVERSITY OF UTAH
Location Address100 N MEDICAL DRSalt Lake City, UT 84113-1103
Mailing Address295 Chipeta WaySalt Lake City, UT 84108-1220 · (801) 587-7400 · Fax (801) 587-7417
Fax(801) 662-4705
Organization SubpartNo
Authorized OfficialEdward B ClarkChair · (801) 587-7400
Enumeration DateAugust 13, 2006
Last NPPES UpdateSeptember 15, 2008
NPI 1568474773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatricsTaxonomy 208000000X
100 N MEDICAL DR, Salt Lake City, UT 84113

Other Identifiers 6

Medicaid807148000ID
Medicaid=========001UT
Other807148400ID · Medicaid Idaho - Midlevel
Medicaid100507113NV
Medicare ID-Type Unspecified000057971UT
Medicaid121226500WY

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.

Pediatrics (Pediatric Gastroenterology)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Emergency Medicine)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Hematology-Oncology)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Emergency Medicine)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Audiologist
100 N MEDICAL DR
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 Pediatric Bone Marrow Transplant Department Of University Of Utah's NPI number?

The NPI number for Pediatric Bone Marrow Transplant Department Of University Of Utah is 1568474773. It was assigned to this organization in the NPPES registry on August 13, 2006.

Where is Pediatric Bone Marrow Transplant Department Of University Of Utah located?

Pediatric Bone Marrow Transplant Department Of University Of Utah is located at 100 N Medical Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-4700.

What is Pediatric Bone Marrow Transplant Department Of University Of Utah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

What insurance does Pediatric Bone Marrow Transplant 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 Bone Marrow Transplant 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 Bone Marrow Transplant Department Of University Of Utah was last updated on September 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.