Active NPI
Myeloma Care Department of University of Utah
- Hematology & Oncology Physician
- Salt Lake City, UT
National Provider Identifier
1215192026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- MYELOMA CARE DEPARTMENT OF UNIVERSITY OF UTAH
- Practice address
- 1950 Circle of Hope Dr
Salt Lake City, UT 84112-5500 - Phone
- (801) 581-2121
- NPI assigned
- Jul 21, 2008
- Organization subpart
- No
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
1950 Circle of Hope Dr
Salt Lake City, UT 84112-5500
Mailing address
PO Box 413033
Salt Lake City, UT 84141-0001
Phone (801) 581-2121
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808154300 - MID | Medicaid | ID | |
| 808115200 | Medicaid | ID | |
| DN9494 | Other | UT | RR MEDICARE |
Other names 1
- UUMC - Myeloma Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239667200000",
"number": "1215192026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 413033",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841410001",
"telephone_number": "801-581-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 CIRCLE OF HOPE DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841125500",
"telephone_number": "801-581-2121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYELOMA CARE DEPARTMENT OF UNIVERSITY OF UTAH",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-21",
"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": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808154300 - MID",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808115200",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DN9494",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UUMC - Myeloma Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- 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.