PEDIATRIC INPATIENT SERVICES DEPARTMENT OF UNIVERSITY OF UTAH
NPI 1588765457
Pediatrics - Pediatric Critical Care Medicine in Salt Lake City, UT

Q: What is Pediatric Inpatient Services Department Of University Of Utah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since September 25, 2006

100 N MEDICAL DR, PEDIATRIC INPATIENT SERV, SALT LAKE CITY, UT 84113(801) 588-3813(801) 588-3814 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pediatric Inpatient Services Department Of University Of Utah NPPES

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

PEDIATRIC INPATIENT SERVICES DEPARTMENT OF UNIVERSITY OF UTAH (NPI 1588765457) is a healthcare organization registered as a pediatric critical care medicine in Salt Lake City, Utah and active in the NPI registry since September 2006. The organization lists Edward B Clark, Dept Chair, as its authorized official.

NPPES Registry Identity

NPI1588765457

Entity TypeOrganization

Primary Taxonomy2080P0203X

Legal Business NamePEDIATRIC INPATIENT SERVICES DEPARTMENT OF UNIVERSITY OF UTAH

Location Address100 N MEDICAL DR, PEDIATRIC INPATIENT SERVSalt 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) 588-3813

Fax(801) 588-3814

Organization SubpartNo

Authorized OfficialEdward B ClarkDept Chair · (801) 587-7400

Enumeration DateSeptember 25, 2006

Last NPPES UpdateSeptember 6, 2011

✔ NPI 1588765457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Definition

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.

Also ListedPediatricsTaxonomy 208000000X

Also ListedHospitalistTaxonomy 208M00000X

100 N MEDICAL DR, Salt Lake City, UT 84113

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Other Identifiers 6

Medicaid100507110NV

Medicaid=========001UT

Medicaid807148100ID

Medicaid7200173WA

Medicare ID-Type Unspecified121298200WY

Medicare ID-Type Unspecified000057967UT

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