Utah Emergency Physicians
Organization Active NPI Emergency Medicine Physician · Salt Lake City, UT
NPI 1588048979 · NPPES record last updated Jul 3, 2025
Key facts
- NPI
- 1588048979
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- UTAH EMERGENCY PHYSICIANS
- Practice address
- 5121 S Cottonwood St
Salt Lake City, UT 84107-5701 - Phone
- (877) 346-2211
- Fax
- (801) 507-9705
- NPI assigned
- Jul 15, 2015
- Organization subpart
- No
Authorized official
- Name
- Steve Smith
- Title
- Ceo
- Phone
- (801) 507-9700
Practitioners 207
-
Chad Michael Agy, MD
-
Carolyn Anctil, MD
-
Matthew David Ashton, M.D.
-
Adam Grant Balls, M.D.
-
David R Barnes, MD
-
Isaac Joseph Bingham, M.D.
-
Adam Clinton Blanchard, M.D.
-
Jeremy T Booth, MD
-
Wendy Bowers, DNP
-
Robert J Bryant, MD
-
Kassie Burton, DNP
-
Jeffrey David Caldwell, M.D.
-
Mark J Carlberg, M.D.
-
Donald W Childs, MD
-
Cabe Riso Clark, M.D.
-
Tyson Willis Cook, 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 |
|---|---|---|---|---|
| O20040628001454 | UT | Part B Supplier - Clinic/Group Practice | 1153307277 |
Receives reassigned benefits from 188 practitioners Practice locations: Layton, UT; Ogden, UT; Riverton, UT; Salt Lake City, UT; Sandy, UT |
| O20241126002646 | ID | Part B Supplier - Clinic/Group Practice | 1153307277 |
Receives reassigned benefits from 15 practitioners Practice locations: Burley, ID |
National Provider Directory
Locations
8th Ave C St E
Salt Lake City, UT 84143
Phone (218) 929-0674
5171 S Cottonwood St
Ste 740
Salt Lake City, UT 84107
Phone (801) 507-9700
1954 E Fort Union Blvd
Ste 109
Salt Lake Cty, UT 84121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
5121 S Cottonwood St
Salt Lake City, UT 84107-5701
Mailing address
5171 S Cottonwood St Ste 740
Salt Lake City, UT 84107-5705
Phone (801) 507-9700
Other providers in Salt Lake City, UT
- Utah CVS Pharmacy LLC
- Utah CVS Pharmacy LLC
- Utah CVS Pharmacy LLC
- Utah Dental Providers
- Utah Dental United
- Utah Endocrinology Associates PLLC
- Utah Eye Associates LLC
- Utah Family Dental Cottonwood Heights
- Utah Food Bank Services
- Utah Gastroenterology LLC
All providers in Salt Lake City, UT · Emergency 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 Jul 3, 2025. 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.