DEPARTMENT OF PEDIATRICS UNIVERSITY OF UTAH - NPI 1679528715

Q: What is Department Of Pediatrics University Of Utah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Department Of Pediatrics University Of Utah NPPES

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

DEPARTMENT OF PEDIATRICS UNIVERSITY OF UTAH (NPI 1679528715) is a healthcare organization registered as a pediatrics 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

NPI1679528715

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameDEPARTMENT OF PEDIATRICS UNIVERSITY OF UTAH

Location Address100 N MEDICAL DRSalt Lake City, UT 84113-1103

Mailing Address295 Chipeta Way, Peds AdminSalt Lake City, UT 84108-1220 · (801) 587-7400 · Fax (801) 587-7417

Phone(801) 588-2000

Fax(801) 587-7417

Organization SubpartNo

Authorized OfficialEdward B ClarkChair · (801) 587-7400

Enumeration DateMay 24, 2006

Last NPPES UpdateSeptember 6, 2011

✔ NPI 1679528715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

100 N MEDICAL DR, Salt Lake City, UT 84113

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Other Identifiers 14

Medicaid911948500FL

Medicare ID-Type Unspecified000008080UT

Medicaid=========026UT

Medicaid003057700ID

Medicaid176668501TX

Medicaid=========009UT

Medicaid100500257NV

Medicaid200426530AIN

Medicaid200020440AOK

Medicaid806902200ID

Medicaid94001963CO

Medicare ID-Type Unspecified000008025UT

MedicaidG0749NM

Medicaid7038870WA

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.

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