UNIVERSITY OF UTAH PEDIATRIC CARDIOLOGY ELECTROPHYSIOLOGY SVCS
NPI 1770841785
Electrodiagnostic Medicine in Salt Lake City, UT

Q: What is University Of Utah Pediatric Cardiology Electrophysiology Svcs's specialty?

The primary specialty registered for this NPI is Electrodiagnostic Medicine with taxonomy code 204R00000X.

Active since April 26, 2012

100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-5400(801) 662-5404 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About University Of Utah Pediatric Cardiology Electrophysiology Svcs NPPES

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

UNIVERSITY OF UTAH PEDIATRIC CARDIOLOGY ELECTROPHYSIOLOGY SVCS (NPI 1770841785) is a healthcare organization registered as an electrodiagnostic medicine in Salt Lake City, Utah and active in the NPI registry since April 2012. The organization lists Edward B Clark, Chair, as its authorized official.

NPPES Registry Identity

NPI1770841785

Entity TypeOrganization

Primary Taxonomy204R00000X

Legal Business NameUNIVERSITY OF UTAH PEDIATRIC CARDIOLOGY ELECTROPHYSIOLOGY SVCS

Location Address100 MARIO CAPECCHI DRSalt Lake City, UT 84113-1103

Mailing Address295 Chipeta WaySalt Lake City, UT 84108-1287 · (801) 587-7400 · Fax (801) 587-7417

Phone(801) 662-5400

Fax(801) 662-5404

Organization SubpartNo

Authorized OfficialEdward B ClarkChair · (801) 587-7400

Enumeration DateApril 26, 2012

Last NPPES UpdateMay 22, 2012

✔ NPI 1770841785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyElectrodiagnostic MedicineAllopathic & Osteopathic Physicians

Taxonomy Code204R00000X

Definition

Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics.

Also ListedPediatricsTaxonomy 208000000X

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X

100 MARIO CAPECCHI DR, Salt Lake City, UT 84113

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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.

KAITLIN CARPENTER

Pediatrics