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University of Utah Pediatric Services

Organization Active NPI Pediatric Rehabilitation Medicine Physician · Salt Lake City, UT

NPI 1477917045 · NPPES record last updated Jan 22, 2021

Key facts

NPI
1477917045
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Rehabilitation Medicine Physician 2081P0010X
Legal business name
UNIVERSITY OF UTAH PEDIATRIC SERVICES
Practice address
81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Phone
(801) 587-6336
NPI assigned
Apr 11, 2016
Organization subpart
Yes
Parent organization (as reported)
UNIVERSITY OF UTAH PEDIATRIC SERVICES

Authorized official

Name
Dr. Samuel Finlayson, MD
Title
Chief Clinical Officer
Phone
(801) 587-6336

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

Corporate family (same tax ID) 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in UT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160713000371 UT Part B Supplier - Clinic/Group Practice 0547552473 Receives reassigned benefits from 807 practitioners
35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sandy, UT; Salt Lake City, UT; Riverton, UT; Layton, UT

National Provider Directory

Tax ID family
University of Utah Pediatric Services (35 organizations share this tax ID)
Part of
University of Utah Pediatric Services

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2081P0010X Yes

Addresses

Primary practice location

81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125

Mailing address

PO Box 841450
Los Angeles, CA 90084-1450
Phone (801) 213-3900

Other names

  • Pediatric PM and R Doing business as

Other providers in Salt Lake City, UT

All providers in Salt Lake City, UT · Pediatric Rehabilitation Medicine Physician in Utah

Sources for this page

Verify at the official NPI Registry.