University of Utah Adult Services
Organization Active NPI Ophthalmology Physician · Salt Lake City, UT
NPI 1447653241 · NPPES record last updated Oct 7, 2014
Key facts
- NPI
- 1447653241
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- UNIVERSITY OF UTAH ADULT SERVICES
- Practice address
- 65 Mario Capecchi Dr
Salt Lake City, UT 84132-0005 - Phone
- (801) 581-2352
- NPI assigned
- Oct 7, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- UNIVERSITY OF UTAH ADULT SERVICES
Authorized official
- Name
- Sean Mulvihill, MD
- Title
- Department Chair
- Phone
- (801) 587-6336
Practitioners 38
-
Kristin Elizabeth Barber, APRN
-
Chaz Davis, FNP
-
Jonathan Robert Genzen, MD, PHD
-
Tracy Irene George, M.D.
-
Ranae Michelle Gonzales, AGACNP-BC
-
Terri Michelle Hancock, DNP, ACNP-BC
-
Whitnee J Hogan, M.D.
-
Nicole Ashley Lynch, DNP, FNP-C, AGPCNP-C
-
Minji Park, DNP, NP-C
-
Nirupama Ramkumar, M.D
-
Susan E Scott, FNP-BC
-
Marcela Smid, MD
-
Robert A Stephenson, M.D.
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
Locations
65 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 581-2352
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
65 Mario Capecchi Dr
Salt Lake City, UT 84132-0005
Mailing address
PO Box 413033
Salt Lake City, UT 84141-3033
Phone (801) 213-3900
Other names
- University of Utah Ophthalmology
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 · Ophthalmology 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 Oct 7, 2014. 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.