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PEDIATRIC CRITICAL CARE DEPARTMENT OF UNIVERSITY OF UTAH
NPI 1922052604
Pediatrics - Pediatric Critical Care Medicine in Salt Lake City, UT

Active since May 19, 2006
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-1000(801) 213-3320 Get Directions Write a Review

NPPES record last updated: June 25, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Critical Care Department Of University Of Utah NPPES

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

PEDIATRIC CRITICAL CARE DEPARTMENT OF UNIVERSITY OF UTAH (NPI 1922052604) is a healthcare organization registered as a pediatric critical care medicine 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

NPI1922052604
Entity TypeOrganization
Primary Taxonomy2080P0203X
Legal Business NamePEDIATRIC CRITICAL CARE DEPARTMENT OF UNIVERSITY OF UTAH
Location Address100 MARIO CAPECCHI 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) 662-1000
Fax(801) 213-3320
Organization SubpartNo
Authorized OfficialEdward B ClarkChair · (801) 587-7400
Enumeration DateMay 19, 2006
Last NPPES UpdateJune 25, 2009
✔ NPI 1922052604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X
100 MARIO CAPECCHI DR, Salt Lake City, UT 84113
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Other Identifiers 5

Medicaid=========001UT
Medicaid100507101NV
Medicaid121357100WY
Medicare ID-Type Unspecified000057969UT
Medicaid807147600ID

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
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
DR. NICOLE JEFFREYS MD
Anesthesiology (Pediatric Anesthesiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3578
SARAH ZOBELL NP
Nurse Practitioner (Pediatrics)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1619
MRS. GIOVANA MARTENDAL KING NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4100
DR. STEVEN SHI-FONG WU
Pediatrics (Pediatric Gastroenterology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2900
KRISTA SKYE VIAU MS, RD, CSP, CD
Dietitian, Registered (Nutrition, Metabolic)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-9590
DR. ANDREW GERALD SMITH M.D.
Pediatrics (Pediatric Critical Care Medicine)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3673
MARY HUNT MARTIN MD
Pediatrics (Pediatric Cardiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5400

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 Pediatric Critical Care Department Of University Of Utah's NPI number?

The NPI number for Pediatric Critical Care Department Of University Of Utah is 1922052604. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Pediatric Critical Care Department Of University Of Utah located?

Pediatric Critical Care Department Of University Of Utah is located at 100 Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-1000.

What is Pediatric Critical Care Department Of University Of Utah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

What insurance does Pediatric Critical Care Department Of University Of Utah accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pediatric Critical Care Department Of University Of Utah 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 Pediatric Critical Care Department Of University Of Utah was last updated on June 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.