University of Utah Andrology Associates

Primary specialty

Nephrology Specialist/TechnologistTaxonomy code 246ZN0300X

Legal business name

UNIVERSITY OF UTAH ANDROLOGY ASSOCIATES

Practice address

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

Phone

(801) 581-2121

NPI assigned

Dec 15, 2006

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) 581-6464

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1205998259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58547",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841580547",
            "telephone_number": "801-581-2121"
        },
        {
            "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 ANDROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "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": "801-581-6464"
    },
    "taxonomies": [
        {
            "code": "246ZN0300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Utah Adult Services (U of U Reproductive Endocrinology)
• University of Utah Adult Services (University of Utah Hospital Pathology Department)
• University of Utah Adult Services (University Orthopaedic Center)
• University of Utah Adult Services (Huntsman Cancer Institute, Hematology-Oncology)
• University of Utah Adult Services (Speech-Language-Hearing Clinic)
• University of Utah Behavioral Health Self Pay Clinic
• University of Utah Behavioral Health Services (UNI Outpatient Adult Professional Behavioral Health Svcs)
• University of Utah Behavioral Health Services (Department of Psychiatry)
• University of Utah Behavioral Health Services (Adult Inpatient Program UNI)
• University of Utah Behavioral Health Services

• Other Specialist/Technologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Other Specialist/Technologist 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.