University of Utah Pediatric Services
Organization Active NPI Pediatrics Physician · Riverton, UT
NPI 1043671985 · NPPES record last updated Apr 13, 2022
Key facts
- NPI
- 1043671985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- UNIVERSITY OF UTAH PEDIATRIC SERVICES
- Practice address
- 3723 W 12600 S
Riverton, UT 84065-7295 - Phone
- (801) 587-6336
- NPI assigned
- Mar 18, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE
Authorized official
- Name
- Dr. Samuel Finlayson, MD
- Title
- Chief Clinical Officer
- Phone
- (801) 587-6336
Other NPIs on the same Medicare enrollment 35
Corporate family (same tax ID) 34
Practitioners 423
-
James C. Ashworth, M.D.
-
Erin Avondet, M.D.
-
Sarah Melissa Becker, D.O.
-
Jessica D Farrar, MA
-
Bruce E. Herman, MD
-
Maija Holsti, MD
-
Howard A Kadish, MD
-
Amy Lin, MD
-
Con Yee Ling, MD
-
Claire Miller, MD, MSCS
-
Jessica Nielsen, FNP
-
Jennifer Plumb, MD, MPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160713000371 | UT | Part B Supplier - Clinic/Group Practice | 0547552473 |
Receives reassigned benefits from 807 practitioners 35 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sandy, UT; Salt Lake City, UT; Riverton, UT; Layton, UT |
National Provider Directory
- Tax ID family
- University of Utah Pediatric Services
- Part of
- University of Utah Pediatric Acuity Care
Locations
6140 W Curtisian Ave
Ste 200
Boise, ID 83704
Phone (208) 363-9074
484 W 50 N 14
American Fork, UT 84003
484 W 50 N
American Fork, UT 84003
735 S 200 W
Ste 2
Blanding, UT 84511
401 S 400 E
Bountiful, UT 84010
Phone (801) 295-2361
201 W Layton Pkwy
Ste 3B
Layton, UT 84041
201 W Layton Pkwy
Ste 3D
Layton, UT 84041
7495 S State St
Midvale, UT 84047
Phone (801) 213-9400
151 S University Ave
Provo, UT 84601
Phone (801) 851-7000
3741 W 12600 S
Ste 301
Riverton, UT 84065
3773 W 12600 S
Ste 300
Riverton, UT 84065
1380 E Medical Center Dr
#N1200
Saint George, UT 84790
1380 E Medical Center Dr
Ste 230
Saint George, UT 84790
525 E 100 S
Ste 4400
Salt Lake City, UT 84102
241 N 300 W
Rm T104
Salt Lake City, UT 84103
44 N Mario Capecchi Dr
Salt Lake City, UT 84132
Phone (801) 584-8239
1275 E Fairfax Rd
Salt Lake City, UT 84103
Phone (801) 536-3500
51 W 39th S
Salt Lake Cty, UT 84107
Phone (801) 266-4363
3450 S 900 W
South Salt Lake, UT 84119
Phone (385) 377-4465
220 Millpond
Ste 100
Tooele, UT 84074
Phone (435) 843-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
3723 W 12600 S
Riverton, UT 84065-7295
Mailing address
PO Box 841450
Los Angeles, CA 90084-1450
Phone (801) 213-3900
Other names
- Pediatric Inpatient Services Riverton
Other providers in Riverton, UT
- Jason Tye
- Lyndon Tyler
- Marianne Tyson
- University of Utah Pediatric Acuity Care
- University of Utah Pediatric Neurology
- Upri Riverton
- Utah Medical Supplies
- Utah Youth Village
- V and S Dental LLC
- Val Hebert RDH Inc
All providers in Riverton, UT · Pediatrics Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.