University of Utah Adult Services
Organization Active NPI Internal Medicine Physician · Salt Lake City, UT
NPI 1356745152 · NPPES record last updated Jan 22, 2021
Key facts
- NPI
- 1356745152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- UNIVERSITY OF UTAH ADULT SERVICES
- Practice address
- 50 N Medical Dr
Salt Lake City, UT 84132-0001 - Phone
- (801) 587-6336
- NPI assigned
- Oct 22, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- UNIVERSITY OF UTAH ADULT SERVICES
Authorized official
- Name
- Dr. Samuel Finlayson, MD
- Title
- Chief Clinical Officer
- Phone
- (801) 587-6336
Practitioners 74
-
Heather Balch, M.D.
-
Marc Barry, M.D.
-
Anna C Beck, MD
-
Carrie Ann Chandler, APRN FNP
-
Susan Crawford Chortkoff, M.D.
-
Damien Clark, MD
-
Sarah Cookler, PA-C
-
Lucy Dana Dewitt, MD
-
Patrick R. Evans, MD
-
Joanna Grudziak, MD, MPH
-
Bruce R Hebdon, M.D.
-
Marta Elise Heilbrun, M.D.
-
Alyssa Ann Lamb, PA-C
-
Katherine Louise Lappe, M.D.
-
Jennifer Clark Lawson, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150209001683 | UT | Part B Supplier - Clinic/Group Practice | 0941525273 |
Receives reassigned benefits from 3,021 practitioners This NPI is an additional NPI on the enrollment Practice locations: Sandy, UT; Salt Lake City, UT; Farmington, UT |
National Provider Directory
- Part of
- University of Utah Adult Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
PO Box 841450
Los Angeles, CA 90084-1450
Phone (801) 587-6336
Other names
- Univ. of Utah Hosp. Gen. Med. Division
Other providers in Salt Lake City, UT
- University of Utah Adult Services
- University of Utah Adult Services
- University of Utah Adult Services
- University of Utah Adult Services
- University of Utah Adult Services
- University of Utah Adult Services
- University of Utah Adult Services
- University of Utah Adult Services
- University of Utah Adult Services
- University of Utah Adult Services
All providers in Salt Lake City, UT · Internal Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.