UNIVERSITY OF UTAH ADULT SERVICES


Address: 250 South Eagle Road, Meridian, ID 83642
Phone: 8015812121

UNIVERSITY OF UTAH ADULT SERVICES (NPI# 1932586294) 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) 1932586294
Entity Type Organization
Organization Name UNIVERSITY OF UTAH ADULT SERVICES
Other Organization Name ST LUKES MERIDIAN MEDICAL CENTER-NEPHROLOGY
Practice Address 250 South Eagle Road
Meridian
ID 83642
Mailing Address Po Box 841450
Los Angeles
CA 90084-1450
Practice Telephone 8015812121
Mailing Telephone 8015876336
Enumeration Date 2015-05-06
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
ST LUKES MERIDIAN MEDICAL CENTER-Nephrology 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
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
1972038412 University of Utah Adult Services Internal Medicine 976 Mountian City Hwy, A Plus Total Care, Elko, NV 89801-2728 2017-04-21

Office Location

Street Address 250 SOUTH EAGLE ROAD
City MERIDIAN
State ID
Zip Code 83642

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174145684 Ikdo South Meridian LLC Dentist 3839 E Amity Rd, Meridian, ID 83642 2020-05-07
1073133328 Prescription Pad LLC Pharmacy 885 S Vanguard Way, Meridian, ID 83642 2020-04-16
1609412683 Meridian Advanced Psychiatry, LLC Psychiatry & Neurology 1672 S Woodsage Ave., Meridan, ID 83642 2019-11-25
1194378927 Sergey Tsema Occupational Therapist 1259 E Pisa St, Meridian, ID 83642 2019-07-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1285293118 Morgan Family Medicine Nurse Practitioner 1660 S Woodsage Avenue, Meridian, ID 83642 2019-06-13
1033772793 Nugen Healthcare, Pllc Registered Nurse 2177 S Spoonbill Ave, Meridian, ID 83642 2019-04-18
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
1114406204 Gem Prep: Meridian LLC Case Management 2750 E.gala Ct., Meridian, ID 83642 2018-08-09
Find all providers in zip 83642

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154406437 Robert C Dobrowolski Internal Medicine 2131 S. Bonito Way, Meridian, ID 83642 2006-10-26
1609867209 Joel Charles Reynolds Internal Medicine 1600 22nd Ave, Meridian, MS 39301-3223 2005-11-02
1578915898 Rc Dobrowolski PC Internal Medicine 2131 S Bonito Way, Meridian, ID 83642-1659 2016-07-11
1124357645 Robert L. Davidson, M.d. Pllc Internal Medicine 520 S Eagle Rd, Suite 1245, Meridian, ID 83642-6351 2009-12-11
1952543118 Aaron Fearday Internal Medicine 3525 E Louise Dr Ste 195, Meridian, ID 83642 2009-04-01
1902963101 Boise Kidney & Hypertension Pllc Internal Medicine 3525 E Louise Dr Ste 195, Meridian, ID 83642 2007-01-03
1437194552 Mary O'kief Dittrich Internal Medicine 3525 E Louise Dr, Ste 100, Meridian, ID 83642-6302 2006-06-20
1518944198 Robert E Clark Internal Medicine 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 2005-12-27
1336126911 John C Andy Internal Medicine 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 2005-12-27
1427035070 A Gary Boone Internal Medicine 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 2005-12-26
Find all providers in MERIDIAN

Competitor

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City MERIDIAN
Zip Code 83642

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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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