UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE (NPI# 1558723445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558723445 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE |
| Other Organization Name | NEUROSTIMULATION PEDIATRIC SERVICES |
| Practice Address |
501 S Chipeta Way Salt Lake City UT 84108-1222 |
| Mailing Address |
Po Box 841450 Los Angeles CA 90084-1450 |
| Practice Telephone | 8015876336 |
| Mailing Telephone | 8012133900 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | EDWARD CLARK (DEPARTMENT CHAIR) |
| Authorized Official Telephone | 8015876336 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0008X |
Psychiatry & Neurology Specialization: Neuromuscular Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Neurostimulation Pediatric Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851898365 | University of Utah Pediatric Acuity Care | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2018-04-11 |
| 1619325131 | University of Utah Pediatric Acuity Care | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-05-25 |
| 1376907410 | University of Utah Pediatric Acuity Care | Pediatrics | 3741 W 12600 S, Riverton, UT 84065-7215 | 2016-04-05 |
| 1538523675 | University of Utah Pediatric Acuity Care | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-05 |
| 1770947814 | University of Utah Pediatric Acuity Care | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-05 |
| 1891156741 | University of Utah Pediatric Acuity Care | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-03-18 |
| Street Address |
501 S CHIPETA WAY |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558332353 | David L Moulton | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2006-01-30 |
| 1639798853 | Jade Burrell | Music Therapist | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-04-09 |
| 1104455724 | Matthew Torbenson | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-04-06 |
| 1699304147 | William Alexander Bennion | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-04-06 |
| 1104455872 | Taylor Crosby Blanding | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-04-05 |
| 1730718875 | Harjit Kaur | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-04-01 |
| 1235767369 | Zachary H Schwartz | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-04-01 |
| 1336777937 | Giselle Mcintyre | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-03-30 |
| 1578191144 | Margaux Barbara Miller | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-03-30 |
| 1679101539 | Caitlin Marie Clark | Student in an Organized Health Care Education/Training Program | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 2084N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neuromuscular Medicine |
| A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome). |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336496074 | University of Utah Neuromuscular | Psychiatry & Neurology | 175 N Medical Drive, Salt Lake City, UT 84132-5901 | 2012-08-13 |
| 1033573191 | University of Utah Pediatric Behavioral Health Services | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-04-05 |
| 1518321660 | University of Utah Pediatric Behavioral Health Services | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-04-05 |
| 1366804254 | University of Utah Acuity Care Services | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2016-03-22 |
| 1083913792 | Neurostimulation Services | Psychiatry & Neurology | 501 Chipeta Way, Salt Lake City, UT 84108-1222 | 2011-03-21 |
| City | SALT LAKE CITY |
| Zip Code | 84108 |
Please comment or provide details below to improve the information on UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE.
| 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.