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PEDS DIAGNOSTIC CARDIOLOGY
NPI 1710016340
Pediatrics - Pediatric Cardiology in Salt Lake City, UT

Active since March 02, 2007
100 N MEDICAL DR, PEDS DIAGNOSTIC CARDIOLOGY, SALT LAKE CITY, UT 84113(801) 662-5400(801) 662-5404 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peds Diagnostic Cardiology NPPES

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

PEDS DIAGNOSTIC CARDIOLOGY (NPI 1710016340) is a healthcare organization registered as a pediatric cardiology in Salt Lake City, Utah and active in the NPI registry since March 2007. The organization lists Edward B Clark, Chairperson, as its authorized official.

NPPES Registry Identity

NPI1710016340
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NamePEDS DIAGNOSTIC CARDIOLOGY
Location Address100 N MEDICAL DR, PEDS DIAGNOSTIC CARDIOLOGYSalt 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) 662-5400
Fax(801) 662-5404
Organization SubpartNo
Authorized OfficialEdward B ClarkChairperson · (801) 587-7400
Enumeration DateMarch 2, 2007
Last NPPES UpdateSeptember 6, 2011
✔ NPI 1710016340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X
100 N MEDICAL DR, Salt Lake City, UT 84113
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Other Identifiers 1

Medicare PIN000067413UT

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
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MS. ANN A. K. KAMP APRN
Nurse Practitioner (Neonatal)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
UNIVERSITY OF UTAH GENERAL PEDIATRICS
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 588-2233
DR. TYSON STUART HORKLEY M.D.
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 267-1855
MS. DEBRA ANN TEMPLIN NP
Nurse Practitioner (Pediatrics, Critical Care)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2447
BONNIE ANN CLAY CPNP
Nurse Practitioner (Pediatrics)
100 N MEDICAL DR, 2800
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5566

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 Peds Diagnostic Cardiology's NPI number?

The NPI number for Peds Diagnostic Cardiology is 1710016340. It was assigned to this organization in the NPPES registry on March 2, 2007.

Where is Peds Diagnostic Cardiology located?

Peds Diagnostic Cardiology is located at 100 N Medical Dr Peds Diagnostic Cardiology, Salt Lake City, UT 84113. The listed phone number is (801) 662-5400.

What is Peds Diagnostic Cardiology's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

When was this NPI record last updated?

The NPPES record for Peds Diagnostic Cardiology was last updated on September 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.