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PEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH
NPI 1629022827
Medical Genetics - Clinical Genetics (M.D.) in Salt Lake City, UT

Active since May 20, 2006
50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 581-8943(801) 585-7252 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Genetics Department Of University Of Utah NPPES

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

PEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH (NPI 1629022827) is a healthcare organization registered as a clinical genetics (m.d.) in Salt Lake City, Utah and active in the NPI registry since May 2006. The organization lists Edward B Clark, Chair, as its authorized official.

NPPES Registry Identity

NPI1629022827
Entity TypeOrganization
Primary Taxonomy207SG0201X
Legal Business NamePEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH
Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001
Mailing Address295 Chipeta Way, Peds AdminSalt Lake City, UT 84108-1220 · (801) 587-7400 · Fax (801) 587-7417
Phone(801) 581-8943
Fax(801) 585-7252
Organization SubpartNo
Authorized OfficialEdward B ClarkChair · (801) 587-7400
Enumeration DateMay 20, 2006
Last NPPES UpdateSeptember 6, 2011
✔ NPI 1629022827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Also ListedPediatricsTaxonomy 208000000X
50 N MEDICAL DR, Salt Lake City, UT 84132
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Other Identifiers 5

Medicaid=========001UT
Medicaid807154000ID
Medicaid121238900WY
Medicare ID-Type Unspecified000057983UT
Medicaid100507116NV

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

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.

UNIVERSITY OF UTAH ADULT SERVICES
Otolaryngology
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 587-6336
ADAM PORTER MOTR/L
Occupational Therapist
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-2119
DR. ERICA JANE ALEXANDRA COLVIN MD
Emergency Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
MEGAN MEIER MD
Internal Medicine (Rheumatology)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
STACI LEE GUNTER PA-C
Physician Assistant (Surgical)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6908
MATTHEW D. O'DELL MD
Internal Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7899
WATARU HORIGUCHI
Student in an Organized Health Care Education/Training Program
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
JEANELLE WEBB
Registered Nurse
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (925) 510-0868

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 Genetics Department Of University Of Utah's NPI number?

The NPI number for Pediatric Genetics Department Of University Of Utah is 1629022827. It was assigned to this organization in the NPPES registry on May 20, 2006.

Where is Pediatric Genetics Department Of University Of Utah located?

Pediatric Genetics Department Of University Of Utah is located at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 581-8943.

What is Pediatric Genetics Department Of University Of Utah's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

When was this NPI record last updated?

The NPPES record for Pediatric Genetics Department Of University Of Utah was last updated on September 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.