PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH
NPI 1639123896
Pediatrics - Adolescent Medicine in Salt Lake City, UT
NPI Status: Active since May 20, 2006
Contact Information
50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 581-3501
Fax: (801) 581-4920
- Organization
- Pediatrics
- Adolescent Medicine
About PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH
This page provides the complete NPI Profile along with additional information for Pediatric Adolescent Medicine Department Of Univeristy Of Utah, a pediatrician established in Salt Lake City, Utah operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1639123896 assigned on May 2006. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Pediatric Adolescent Medicine Department Of Univeristy Of Utah operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Edward B Clark Md (Chair)
- NPI
- 1639123896
- Provider Name
- PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH
- Entity Type
- Organization
- Location Address
- 50 N MEDICAL DR SALT LAKE CITY, UT 84132
- Location Phone
- (801) 581-3501
- Location Fax
- (801) 581-4920
- Mailing Address
- 295 CHIPETA WAY PEDS ADMIN SALT LAKE CITY, UT 84108
- Mailing Phone
- (801) 587-7400
- Mailing Fax
- (801) 581-4920
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-20-2006
- Last Update Date
- 09-06-2011
- Code Navigator
A pediatrician like Pediatric Adolescent Medicine Department Of Univeristy Of Utah is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807297100 | MEDICAID (05) | ID | |
| =========001 | MEDICAID (05) | UT | |
| 121820400 | MEDICAID (05) | WY | |
| 000058094 | MEDICARE ID-TYPE UNSPECIFIED (04) | UT | |
| 100507432 | MEDICAID (05) | NV |
Reviews for PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 1 | 2 | 3 | 8 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 2 | 6 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 2 + 6 + 8 + 1 + 8 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1639123896 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750388104 | MR. LONNIE DOYLE SMITH PHARMD Individual | Pharmacist (Pharmacotherapy) | 50 N MEDICAL DR RM PA455 SALT LAKE CITY, UT 84132 (801) 585-2641 |
| 1053302984 | DR. HEATHER ANNE NYMAN PHARMD Individual | Pharmacist | 50 N MEDICAL DR RM A050 SALT LAKE CITY, UT 84132 (801) 585-7649 |
| 1245219278 | MRS. PILAR LENGLET MAGOULAS MS, CGC Individual | Genetic Counselor, MS | 50 N MEDICAL DR SOM 2C412 SALT LAKE CITY, UT 84132 (801) 581-8943 |
| 1194794693 | TERESA WILLARD LCSW Individual | Social Worker (Clinical) | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 585-2717 |
| 1518928621 | KRISTEN M RIES MD Individual | Internal Medicine (Infectious Disease) | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 585-3203 |
| 1548218233 | DR. SARA ROBERTSON VAZQUEZ PHARM.D Individual | Pharmacist | 50 N MEDICAL DR ROOM 1R211 SALT LAKE CITY, UT 84132 (801) 585-3713 |
| 1811946619 | U-U HEMATOLOGY-ONCOLOGY DIVISION Organization | Internal Medicine | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1427007228 | MARGARET KER HUI YU M.D. Individual | Internal Medicine | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1578513842 | JAMES P KUSHNER M.D. Individual | Internal Medicine | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1649220948 | SCHICKWANN TSAI M.D. Individual | Internal Medicine | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1174573323 | ROBERT A DENT P.A. Individual | Physician Assistant | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1467402628 | MALINDA KAYE HORTON P.N.P. Individual | Nurse Practitioner | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1063464360 | DR. CLAUDIA GOULSTON M.D. Individual | Internal Medicine (Infectious Disease) | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1861444929 | ROBERTA Y WANG MD Individual | Obstetrics & Gynecology | 50 N MEDICAL DR SLC, UT 84132 (801) 581-2719 |
| 1134172042 | U-U NONINVASIVE VASCULAR LAB Organization | Surgery | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1528011327 | DR. WILLIAM R HOWELL M.B.B.CH. Individual | Internal Medicine | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-2121 |
| 1871546697 | JODI FOLEY DAYTON MD Individual | Anesthesiology | 50 N MEDICAL DR SLC, UT 84132 (801) 581-6393 |
| 1104870807 | UNIVERSITY OF UTAH OB CARE NOW Organization | Advanced Practice Midwife | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 587-9500 |
| 1477507184 | UNIVERSITY OF UTAH HOSPITAL PROFESSIONAL SERVICES Organization | Genetic Counselor, MS | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 587-9500 |
| 1629022827 | PEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH Organization | Medical Genetics (Clinical Genetics (M.D.)) | 50 N MEDICAL DR SALT LAKE CITY, UT 84132 (801) 581-8943 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639123896, enumerated in the NPI registry as an "organization" on May 20, 2006
The provider is located at 50 N Medical Dr Salt Lake City, Ut 84132 and the phone number is (801) 581-3501
This medical organization specializes in Pediatrics with taxonomy code 2080A0000X with a focus in Adolescent Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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