University of Utah Adult Services
Organization Active NPI Surgery Physician · Salt Lake City, UT
NPI 1548664352 · NPPES record last updated Jan 22, 2021
Key facts
- NPI
- 1548664352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- UNIVERSITY OF UTAH ADULT SERVICES
- Practice address
- 50 N Medical Dr
Salt Lake City, UT 84132-0001 - Phone
- (801) 581-2121
- 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
Other NPIs on the same Medicare enrollment 14
Practitioners 62
-
Todd R. Ashby, PA
-
Tawnie Joy Braaten, M.D
-
Rebecca Miller Brim, APRN
-
Elizabeth Mae Chabot, M.D.
-
Matthew Christopher, PA-C
-
Anna Ladd Ciullo, M.D.
-
Monica L Hatch, PA-C
-
Matthew Jensen, MD
-
Karla Lissette Miller, M.D.
-
Marissa Lou Moran, DPT
-
David Edwin Morgan, M.D.
-
Philip Theodore Najm, M.D.
-
Randall W. Rupper, MD, MPH
-
Cory Michelle Savino, PMHNP-BC FNP
-
Jacquelyn M. Simonis, M.D.
-
Spencer Crawford Smith, M.D.
-
Matthew Howe Steenblik, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT, ID
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 |
| O20150717001509 | ID | Part B Supplier - Clinic/Group Practice | 0941525273 |
Receives reassigned benefits from 18 practitioners 14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Idaho Falls, ID; Pocatello, ID; Meridian, ID; Boise, ID |
National Provider Directory
- Part of
- University of Utah Adult Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | 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) 213-3900
Other names
- Univ. of Utah Hospital General Surgery
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 · Surgery 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.