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ROSE CREEK PEDIATRICS, LLC
NPI 1750985420
Pediatrics in Riverton, UT

Active since November 24, 2020CLIA 46D2212842 · Waiver
4121 W 13400 S UNIT B, RIVERTON, UT 84096(801) 842-7366 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rose Creek Pediatrics, Llc NPPES

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

ROSE CREEK PEDIATRICS, LLC (NPI 1750985420) is a healthcare organization registered as a pediatrics in Riverton, Utah and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Woodrow Cannon Marriott, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1750985420
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameROSE CREEK PEDIATRICS, LLC
Location Address4121 W 13400 S UNIT BRiverton, UT 84096-6412
Mailing Address869 E 4500 S # 261Salt Lake City, UT 84107-3049 · (801) 842-7366
Phone(801) 842-7366
Organization SubpartNo
Authorized OfficialWoodrow Cannon MarriottManaging Member · (801) 842-7366
Enumeration DateNovember 24, 2020
NPPES CertifiedNovember 24, 2020
✔ NPI 1750985420 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.
4121 W 13400 S UNIT B, Riverton, UT 84096
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2212842

Rose Creek Pediatrics, LLC · Riverton, UT
Active · expires Feb 7, 2027
CLIA Number46D2212842
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorWoodrow C. Marriott
Laboratory Phone(801) 446-0102
Laboratory LocationRose Creek Pediatrics, LLC4121 W 13400 S, Unit B, Riverton, UT 84096
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Rose Creek Pediatrics, LLC's NPI number?

The NPI number for Rose Creek Pediatrics, LLC is 1750985420. It was assigned to this organization in the NPPES registry on November 24, 2020.

Where is Rose Creek Pediatrics, LLC located?

Rose Creek Pediatrics, LLC is located at 4121 W 13400 S Unit B, Riverton, UT 84096. The listed phone number is (801) 842-7366.

What is Rose Creek Pediatrics, LLC's specialty?

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

Does Rose Creek Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2212842) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rose Creek Pediatrics, LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Rose Creek Pediatrics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rose Creek Pediatrics, LLC was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.