UNIVERSITY OF UTAH SPECIALTY SERVICES (NPI# 1780088849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780088849 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH SPECIALTY SERVICES |
| Other Organization Name | U OF U MATERNAL FETAL MEDICINE |
| Practice Address |
50 N Medical Dr Salt Lake City UT 84132-0001 |
| Mailing Address |
Po Box 841450 Los Angeles CA 90084-1450 |
| Practice Telephone | 8016043882 |
| Mailing Telephone | 8012133900 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | SEAN MULVIHILL (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8015876336 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF UTAH SPECIALTY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| U of U Maternal Fetal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316324973 | University of Utah Specialty Services | Obstetrics & Gynecology | 976 Mountain City Hwy, Elko, NV 89801-2728 | 2015-05-04 |
| 1417353228 | University of Utah Specialty Services | Neurological Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-11-06 |
| 1043614811 | University of Utah Specialty Services | General Practice | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1053715110 | University of Utah Specialty Services | Obstetrics & Gynecology | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2014-10-20 |
| 1992109052 | University of Utah Specialty Services | Internal Medicine | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2014-10-20 |
| 1699179754 | University of Utah Specialty Services | Obstetrics & Gynecology | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2014-10-20 |
| 1629472311 | University of Utah Specialty Services | Physical Medicine & Rehabilitation | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2014-10-09 |
| Street Address |
50 N MEDICAL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84132-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555696 | Yaw Ababio Boateng | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2005-06-01 |
| 1073114864 | Stephanie Bevill | Registered Nurse | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-11-06 |
| 1609477801 | Justin Larson | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-11-04 |
| 1366042467 | Kirsty Aleah Vannoy | Occupational Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-10-28 |
| 1629675673 | Erica Kueneman | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-10-02 |
| 1487266680 | Michelle A Barker | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-19 |
| 1770195943 | Lisa M Schaeffer | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-19 |
| 1194336289 | Michelle Rios | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-12 |
| 1932710027 | Tanner Ladsten | Physical Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-12 |
| 1578174660 | Rachel Sette | Occupational Therapist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-08-12 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 84132 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174802250 | Lauren H Theilen | Obstetrics & Gynecology | 50 N Medical Dr Ste 2185, Salt Lake City, UT 84132 | 2011-08-08 |
| 1922028166 | Amy E Sullivan | Obstetrics & Gynecology | University of Utah Hospital Clinics Dept of Ob/gyn, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2006-07-20 |
| 1992769368 | Michael L Draper | Obstetrics & Gynecology | 30 North 1900 E Ste 2b200, U of U Dept of Ob/gyn, Salt Lake City, UT 84132-0001 | 2006-04-13 |
| 1053658708 | Jessica Marie Page | Obstetrics & Gynecology | 50 N Medical Dr, Salt Lake City, UT 84132-3011 | 2013-01-14 |
| 1457627507 | Obstetrix Medical Group of Utah, PC | Obstetrics & Gynecology | 1140 E 3900 S, Ste 390, Salt Lake City, UT 84124-1228 | 2012-03-22 |
| 1699074732 | Ihc Health Services Inc | Obstetrics & Gynecology | 8 Th Ave and C St, Salt Lake City, UT 84143-0001 | 2011-03-15 |
| 1053610196 | Ihc Health Services Inc | Obstetrics & Gynecology | 8 Th Ave and C St, Salt Lake City, UT 84143-0001 | 2011-03-15 |
| 1679890719 | Christina Annette Herrera | Obstetrics & Gynecology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2010-04-29 |
| 1568674208 | Cara C Heuser | Obstetrics & Gynecology | 5121 Cottonwood St, Suite 100, Salt Lake City, UT 84107-5701 | 2007-05-04 |
| 1356421259 | Gilbert Marc Jackson | Obstetrics & Gynecology | 30 N 1900 E # 2b-200, Salt Lake City, UT 84132-0002 | 2006-10-16 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84132 |
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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.