PEDIATRIC NEONATOLOGY DEPARTMENT OF UNIVERSITY OF UTAH
NPI 1689771669
Pediatrics - Neonatal-Perinatal Medicine in Salt Lake City, UT

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

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Active since September 20, 2006

100 N MEDICAL DR, U OF U SOM DEPT OF PEDIATRICS, SALT LAKE CITY, UT 84113(801) 588-2000(801) 587-7417 Get Directions Write a Review

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

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About Pediatric Neonatology Department Of University Of Utah NPPES

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

PEDIATRIC NEONATOLOGY DEPARTMENT OF UNIVERSITY OF UTAH (NPI 1689771669) is a healthcare organization registered as a neonatal-perinatal medicine in Salt Lake City, Utah and active in the NPI registry since September 2006. The organization lists Edward B Clark, Pe Specialists, as its authorized official.

NPPES Registry Identity

NPI1689771669

Entity TypeOrganization

Primary Taxonomy2080N0001X

Legal Business NamePEDIATRIC NEONATOLOGY DEPARTMENT OF UNIVERSITY OF UTAH

Location Address100 N MEDICAL DR, U OF U SOM DEPT OF PEDIATRICSSalt 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) 588-2000

Fax(801) 587-7417

Organization SubpartNo

Authorized OfficialEdward B ClarkPe Specialists · (801) 587-7400

Enumeration DateSeptember 20, 2006

Last NPPES UpdateSeptember 6, 2011

✔ NPI 1689771669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X

100 N MEDICAL DR, Salt Lake City, UT 84113

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Other Identifiers 5

Medicare ID-Type Unspecified000057965UT

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

Medicaid100507100NV

Medicaid121409800WY

Medicaid807135600ID

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.

PEDIATRIC GASTROENTEROLOGY DEPARTMENT OF UNIVERSITY OF UTAH

Pediatrics (Pediatric Gastroenterology)