UNIVERSITY OF UTAH ADULT SERVICES


Address: 65 Mario Capecchi Dr, Salt Lake City, UT 84132-0005
Phone: 8015812352

UNIVERSITY OF UTAH ADULT SERVICES (NPI# 1447653241) 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) 1447653241
Entity Type Organization
Organization Name UNIVERSITY OF UTAH ADULT SERVICES
Other Organization Name UNIVERSITY OF UTAH OPHTHALMOLOGY
Practice Address 65 Mario Capecchi Dr
Salt Lake City
UT 84132-0005
Mailing Address Po Box 413033
Salt Lake City
UT 84141-3033
Practice Telephone 8015812352
Mailing Telephone 8012133900
Enumeration Date 2014-10-07
Last Update Date 2014-10-07
Authorized Official Name SEAN MULVIHILL (DEPARTMENT CHAIR)
Authorized Official Telephone 8015876336
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name UNIVERSITY OF UTAH ADULT SERVICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
University of Utah Ophthalmology Doing Business As Name - Organization

Other Provider IDs and Locations

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
1356745137 University of Utah Adult Services Internal Medicine 1950 E Circle of Hope Drive, Salt Lake City, UT 84112 2014-10-22
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

Office Location

Street Address 65 MARIO CAPECCHI DR
City SALT LAKE CITY
State UT
Zip Code 84132-0005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326045261 Barbara M. Wirostko Ophthalmology 65 Mario Capecchi Dr, Salt Lake City, UT 84132-0001 2005-07-07
1326442179 University of Utah Adult Services Optometrist 65 Mario Capecchi Dr, Salt Lake City, UT 84132-0005 2014-10-22
1427452275 University of Utah Adult Services Optometrist 65 Mario Capecchi Dr, Salt Lake City, UT 84132-0005 2014-10-22
1033513957 University of Utah Adult Services Ophthalmology 65 Mario Capecchi Dr, Salt Lake City, UT 84132-0005 2014-10-21
1225304918 Russell Swan Ophthalmology 65 Mario Capecchi Dr, Salt Lake City, UT 84132-0005 2012-03-27
1235406372 University of Utah Uveitis Ophthalmology 65 Mario Capecchi Dr, Salt Lake City, UT 84132-0001 2011-11-17
1699053173 Briana Lauren Sawyer Genetic Counselor, MS 65 Mario Capecchi Dr, Clinical Studies, Salt Lake City, UT 84132-0005 2011-08-01
1821380759 University of Utah Neuro-ophthalmology Ophthalmology 65 Mario Capecchi Dr, Salt Lake City, UT 84132-0005 2011-05-11
1194986786 Ronald Paul Hobbs Ophthalmology 65 Mario Capecchi Dr, Salt Lake City, UT 84132-0005 2008-06-17
1033390877 Marielle Payne Young Ophthalmology 65 Mario Capecchi Dr, Salt Lake City, UT 84132-0005 2007-11-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275162331 Scott Andrew Rizzi Student in an Organized Health Care Education/Training Program 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 2020-04-02
1609421403 Monika Fleckenstein Ophthalmology 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 2019-08-08
1366975914 Jacob Brandenburg Anesthesiology School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 2017-04-10
1568815082 Anastasia Neufeld Ophthalmology 65 Mario Capecchi Drive, Salt Lake City, UT 84132 2016-07-20
1912350083 Gmaan Alzhrani Student in an Organized Health Care Education/Training Program 175 N. Medical Drive East
, Salt Lake City, UT 84132 2016-07-13
1831544600 Drew Goerke Occupational Therapist 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 2016-04-29
1891179024 Bong Jik Kim Student in an Organized Health Care Education/Training Program 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 2015-07-17
1043699101 Chris Anderson Physician Assistant 30 North 1900 East #3c344, Salt Lake City, UT 84132 2015-05-22
1689061822 Ryan Clark Thoracic Surgery (Cardiothoracic Vascular Surgery) 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 2015-04-24
1649666264 Kevin Conrad Anesthesiology 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 2015-04-09
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609421403 Monika Fleckenstein Ophthalmology 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 2019-08-08
1568815082 Anastasia Neufeld Ophthalmology 65 Mario Capecchi Drive, Salt Lake City, UT 84132 2016-07-20
1699126680 Judd Michael Cahoon Ophthalmology 3281 E Santa Rosa Ave, Salt Lake City, UT 84109-4128 2016-06-30
1356706469 John Christian Nelson Ophthalmology 3449 South 4155 West, Salt Lake City, UT 84109-2468 2015-12-17
1558660308 Brian E Zaugg Ophthalmology John A Moran Eye Center 65 Mario Capecchi Dr, Salt Lake City, UT 84132-0001 2011-03-18
1770880346 Gary Ricks Jones Ophthalmology 1924 S View St, Salt Lake City, UT 84105-3712 2011-02-17
1861792665 Susan Crawford Chortkoff Ophthalmology John A Moran Eye Ctr, 65 North Mario Capecchi Drive, Salt Lake City, UT 84132-0001 2010-10-26
1689991747 Kian Eftekhari Ophthalmology Eyelid Center of Utah, 22 S 900 E, Salt Lake City, UT 84102 2010-04-29
1760621940 Bryan Paul Hemard Sr. Ophthalmology 6308 Canyon Cove Dr, Salt Lake City, UT 84121-6336 2009-02-12
1689833436 Surgical Care Associates Ophthalmology 1025 East 3300 South, Suite B, Salt Lake City, UT 84106-4389 2008-06-06
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Competitor

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City SALT LAKE CITY
Zip Code 84132

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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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