University of Utah Surgical Intensive Care Unit

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

Legal business name

UNIVERSITY OF UTAH SURGICAL INTENSIVE CARE UNIT

Practice address

50 N Medical Dr
Salt Lake City, UT 84132-0001

Phone

(801) 581-2121

NPI assigned

Jan 10, 2007

Last updated

Apr 14, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janell I Madonna

Title

Director of Contracting and Pe

Phone

(801) 587-6464

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1093864753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413035",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841410001",
            "telephone_number": "801-213-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MEDICAL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-581-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF UTAH SURGICAL INTENSIVE CARE UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "MADONNA",
        "authorized_official_first_name": "JANELL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTING AND PE",
        "authorized_official_telephone_number": "801-587-6464"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Utah Specialty Services (U of U Maternal Fetal Medicine)
• University of Utah Specialty Services (UUMC - Myeloma Care)
• University of Utah Student Health Center (Student Health Center)
• University of Utah Student Health Center
• University of Utah Surgical Associates
• University of Utah Surgical Services (University of Utah Department of Neurosurgery)
• University of Utah Surgical Services (University of Utah Hospital Medical Neuroscience)
• University of Utah Surgical Services
• University of Utah Surgical Services (University of Utah Department of Neurosurgery-Clinical Neuroscience Ce)
• University of Utah Surgical Services (Ortho Spine Surgeons)

• Surgical Critical Care Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Surgical Critical Care Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.