Active NPI
University of Utah Neuromuscular
- Neuromuscular Medicine (Psychiatry & Neurology) Physician
- Salt Lake City, UT
National Provider Identifier
1336496074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Psychiatry & Neurology) Physician
- Legal business name
- UNIVERSITY OF UTAH NEUROMUSCULAR
- Practice address
- 175 N Medical Drive
Salt Lake City, UT 84132-5901 - Phone
- (801) 585-7575
- NPI assigned
- Aug 13, 2012
- Last updated
- Nov 14, 2012
- 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
- Stefan M Pulst
- Title
- Department Chair
- Phone
- (801) 585-6387
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | Primary |
Addresses
Primary practice location
175 N Medical Drive
Salt Lake City, UT 84132-5901
Mailing address
PO Box 413027
Salt Lake City, UT 84141-3027
Phone (801) 213-3900
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Neurology Physician
- Salt Lake City, UT
- NPI 1447376629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352851200000",
"number": "1336496074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 413027",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841413027",
"telephone_number": "801-213-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 N MEDICAL DRIVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841325901",
"telephone_number": "801-585-7575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF UTAH NEUROMUSCULAR",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-13",
"last_updated": "2012-11-14",
"status": "A",
"authorized_official_last_name": "PULST",
"authorized_official_first_name": "STEFAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DEPARTMENT CHAIR",
"authorized_official_telephone_number": "801-585-6387"
},
"taxonomies": [
{
"code": "2084N0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
- University of Utah Life Skills Clinic
- University of Utah Medical Center
- University of Utah Medical Center Psychiatry
- University of Utah Neuro Critical Care
- University of Utah Neuro-Ophthalmology
- University of Utah OB Care Now
- University of Utah OB Diagnostic Center
- University of Utah Orthopedic Consultants
- University of Utah Otolaryngology Pediatrics
- University of Utah Pain Management Physicians Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.