NPIMap

Organization Active NPI

Abc Pediatrics, P.C.

  • Pediatrics Physician
  • Cottonwood Heights, UT
National Provider Identifier
1114149572
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
347103-1205 Issued in UT
Legal business name
ABC PEDIATRICS, P.C.
Practice address
6360 S 3000 E
Suite 230
Cottonwood Heights, UT 84121-6923
Phone
(801) 523-3030
Fax
(801) 523-3033
NPI assigned
May 3, 2007
Last updated
Dec 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Dr. Peter K Moskowitz, MDNPI 1144229931
Title
President
Phone
(801) 523-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 347103-1205 UT Primary

Addresses

Primary practice location

6360 S 3000 E
Suite 230
Cottonwood Heights, UT 84121-6923

Mailing address

7929 S Forest Oaks CT
Cottonwood Heights, UT 84121-5737
Phone (801) 274-0317

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D1039012Abc Pediatrics, PC6360 S 3000 E Ste 230, Cottonwood, UT 84121Certificate of waiverMar 31, 2027

National Provider Directory

National Provider Directory

Locations

6360 S 3000 E
Ste 230
Cottonwood Heights, UT 84121
Phone (801) 523-3030

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1114149572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7929 S FOREST OAKS CT",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841215737",
            "telephone_number": "801-274-0317",
            "fax_number": "801-210-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 S 3000 E",
            "address_2": "SUITE 230",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841216923",
            "telephone_number": "801-523-3030",
            "fax_number": "801-523-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "MOSKOWITZ",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-523-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "347103-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.