UNIVERSITY OF UTAH ADULT SERVICES (NPI# 1356745137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356745137 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH ADULT SERVICES |
| Other Organization Name | UNIV. OF UTAH HOSP. IM- HEMATOLOGY- HEMATOLOGIC |
| Practice Address |
1950 E Circle of Hope Drive Salt Lake City UT 84112 |
| Mailing Address |
Po Box 841450 Los Angeles CA 90084-1450 |
| Practice Telephone | 8015876336 |
| Mailing Telephone | 8012133900 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | EDWARD CLARK (DEPT CHAIR) |
| Authorized Official Telephone | 8015876336 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF UTAH ADULT SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Univ. of Utah Hosp. IM- Hematology- Hematologic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982135984 | University of Utah Adult Services | Audiologist | 417 S Wakara Way, 1112, Salt Lake City, UT 84108-1436 | 2017-03-22 |
| 1083158257 | University of Utah Adult Services | Dentist | 375 S Chipeta Way Ste A200, Salt Lake City, UT 84108-1261 | 2016-12-07 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1255719407 | University of Utah Adult Services | Internal Medicine | 1208 Hilltop Dr Ste 102, Rock Springs, WY 82901-5858 | 2015-05-08 |
| 1932586294 | University of Utah Adult Services | Internal Medicine | 250 South Eagle Road, Meridian, ID 83642 | 2015-05-06 |
| 1629455282 | University of Utah Adult Services | Internal Medicine | 976 Mountian City Hwy, A Plus Total Care, Elko, NV 89801-2728 | 2015-05-04 |
| 1851904247 | University of Utah Adult Services | Orthopaedic Surgery | 9385 S Snowbird Center Dr, Sandy, UT 84092-6249 | 2020-08-26 |
| 1114431921 | University of Utah Adult Services | Internal Medicine | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2017-12-01 |
| 1174033989 | University of Utah Adult Services | Clinic/Center | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2017-10-06 |
| 1972038412 | University of Utah Adult Services | Internal Medicine | 976 Mountian City Hwy, A Plus Total Care, Elko, NV 89801-2728 | 2017-04-21 |
| Street Address |
1950 E CIRCLE OF HOPE DRIVE |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
| 1235792839 | Dylan Lamb | Rehabilitation Practitioner | 1850 S. 260 E, Salt Lake City, UT 84112 | 2019-04-18 |
| 1740787407 | David Bradley Patch | Student in an Organized Health Care Education/Training Program | University of Utah Hospital Dental Clinic #7, 50 N. Medical Dr., Salt Lake City, UT 84112 | 2018-04-10 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1316493117 | Dana Friske | Specialist/Technologist | 290 S 1850 E, Room 103, Salt Lake City, UT 84112 | 2016-08-31 |
| 1548612435 | Frances Millett Johnson | Nurse Practitioner | 555 South Foothill Blvd, Suite 301, Salt Lake City, UT 84112 | 2016-07-05 |
| 1679920904 | Jason Lippman | Family Medicine | 555 S. Foothill Blvd., Ste. 301, Salt Lake City, UT 84112 | 2016-05-17 |
| 1447604335 | Joseph Mcbeth | Specialist/Technologist | 580 S. Guardsman Way, Salt Lake City, UT 84112 | 2016-04-18 |
| 1104213636 | Cameron Critchfield | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, Suite 5900, Salt Lake City, UT 84112 | 2015-04-22 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| Find all providers in zip 84112 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123172 | Scott Marriner Browning | Internal Medicine | 2318 E Field Rose Dr, Salt Lake City, UT 84121-1500 | 2017-06-08 |
| 1982049227 | Bryan D Huber | Internal Medicine | 8th Avenue & C Street E8, Salt Lake City, UT 84143-3403 | 2013-04-30 |
| 1457664005 | Sabarinath Venniyil Radhakrishna | Internal Medicine | 2000 Circle of Hope, Suite 2100, Huntsman Cancer Institute, Salt Lake City, UT 84112 | 2010-07-23 |
| 1225164114 | Finn Bo Petersen | Internal Medicine | E8 Lds Hospital, 8th Avenue and C Street, Salt Lake City, UT 84143-0001 | 2007-02-26 |
| 1699775767 | Sunil Sharma | Internal Medicine | 2000 Circle of Hope Dr, #3380, Salt Lake City, UT 84112-5550 | 2005-07-29 |
| 1750380176 | Alton Harvey Wagnon | Internal Medicine | 2890 E Cottonwood Pkwy, Salt Lake City, UT 84121-7035 | 2005-07-18 |
| 1679094700 | Haoran Li | Internal Medicine | 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-0002 | 2017-06-28 |
| 1912435579 | Shashank Sama | Internal Medicine | 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-0002 | 2017-05-26 |
| 1487018040 | University of Utah Pediatric Services | Internal Medicine | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-11 |
| 1164885083 | Kristen Kelley | Internal Medicine | 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-0002 | 2016-03-29 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84112 |
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| 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.