SUNNYSIDE PEDIATRICS


Address: 1060 E 100 S, #400, Salt Lake City, UT 84102-1501
Phone: 8015212640

SUNNYSIDE PEDIATRICS (NPI# 1275940611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275940611
Entity Type Organization
Organization Name SUNNYSIDE PEDIATRICS
Other Organization Name SUNNYSIDE PEDIATRICS, LLC
Practice Address 1060 E 100 S
#400
Salt Lake City
UT 84102-1501
Practice Telephone 8015212640
Practice Fax Number 8013636407
Mailing Telephone 8015212640
Mailing Fax Number 8013636407
Enumeration Date 2014-07-17
Last Update Date 2014-07-17
Authorized Official Name BECKY SELLERS (PRACTICE ADMINISTRATOR)
Authorized Official Telephone 8015268353
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Sunnyside Pediatrics, LLC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1275810780 Sunnyside Pediatrics Pediatrics 600 S 8th St, Griffin, GA 30224-4214 2011-11-11

Office Location

Street Address 1060 E 100 S
#400
City SALT LAKE CITY
State UT
Zip Code 84102-1501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548263213 Lisa Stout Specialist 1060 E 100 S, Ste 110, Salt Lake City, UT 84102-1591 2005-05-24
1336686856 Wasatch Psychological Services, LLC Psychologist 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 2017-01-23
1982083440 Dr Amy Lynn Fehlberg Psychologist 1060 E 100 S, Ste 100, Salt Lake City, UT 84102-1582 2015-05-29
1386042760 John Richard Mcvey Physician Assistant 1060 E 100 S, Suite 110, Salt Lake City, UT 84102-1501 2014-12-16
1164853651 Garcia Clinical Psychology, LLC Clinic/Center 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 2013-12-09
1447522859 Ryan Woodrow Wilkes Psychologist 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 2012-01-31
1912274309 Julia Jacobs Psychologist 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 2011-11-29
1609167899 Ryan Garcia Psychologist 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 2011-04-22
1225333842 Wh-bm Consultant LLC Specialist 1060 E 100 S, L10, Salt Lake City, UT 84102-1501 2011-01-12
1619108057 Amy Lynn Fehlberg Psychologist 1060 E 100 S, Ste 100, Salt Lake City, UT 84102-1582 2009-08-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942818604 Wendy Vazquez Behavior Technician 515 S 700 E Suit 2a, Salt Lake City, UT 84102 2020-07-20
1407481245 Odyssey House Inc Family Medicine 743 E 300 S, Salt Lake City, UT 84102 2020-03-11
1093359960 Hayle Mayer Behavior Technician 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 2019-11-04
1326680869 Ronald Mcdonald House of The Intermountain Area Meals 935 E. South Temple, Salt Lake City, UT 84102 2019-10-16
1508419581 Claire Pemberton Behavior Technician 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 2019-07-19
1558923144 Olivia Anne Hardwick Social Worker Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 2019-07-03
1649741802 Colten Vancampen Behavior Technician 515 S 700 E #2a, Salt Lake City, UT 84102 2018-12-16
1457847964 Utah Podiatry Group PC Podiatrist 24 S 1100 E Ste 120, Salt Lake City, UT 84102 2018-07-09
1104311661 Malorey Kooyman Behavior Technician 515 700 East, Suite 2a, Salt Lake City, UT 84102 2018-06-27
1700384930 Utah Podiatry Group PC Podiatrist 82 S 1100 E Ste 301, Salt Lake City, UT 84102 2018-01-23
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760033443 Careatc Clinic/Center 669 W 200 S, Salt Lake City, UT 84101-1014 2019-09-24
1174006605 Bristol Palliative Care Services, L.L.C. Clinic/Center 3216 S Highland Dr Ste 100, Salt Lake City, UT 84106-4196 2018-09-11
1053764431 Olympus Family Medicine Clinic/Center 4624 S Holladay Blvd Ste 100, Salt Lake City, UT 84117-7054 2016-07-20
1467830919 Mary M. Martineau Clinic/Center 335 E 2nd Ave Apt A, Salt Lake City, UT 84103-2626 2015-05-15
1316117344 Avenues To Health, LLC Clinic/Center 223 W 700 S, Suite D, Salt Lake City, UT 84101-2718 2008-03-05
1487260550 Doctors House Calls of Utah, LLC Clinic/Center 1250 E 3900 S Ste 440, Salt Lake City, UT 84124-1349 2020-09-23
1184093924 Westech Wellness Center Clinic/Center 3605 S West Temple, Salt Lake City, UT 84115-4409 2015-09-23
1447667217 Granger Medical Clinic, Inc. Clinic/Center 1250 E 3900 S, Suite 250, Salt Lake City, UT 84124-1348 2014-07-14
1821225079 Sara A. Wells, M.d., A Professional Corporation Clinic/Center 2131 E 2100 S, Salt Lake City, UT 84109-1128 2009-06-15
1730331984 Future Care Plan, Inc Clinic/Center 7084 S 2300 E, Suite #110, Salt Lake City, UT 84121-3968 2008-10-21
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Competitor

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City SALT LAKE CITY
Zip Code 84102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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