Pediatric Genetics Department of University of Utah

Primary specialty

Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X

Legal business name

PEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH

Practice address

50 N Medical Dr
Salt Lake City, UT 84132-0001

Phone

(801) 581-8943

Fax

(801) 585-7252

NPI assigned

May 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward B Clark, MD

Title

Chair

Phone

(801) 587-7400

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 6

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

• Seida Leticia Rocha, A.P.R.N

  • Family Nurse Practitioner
  • Magna, UT
  • NPI 1568285567
  NPD (past)
• Michael J Bamshad

  • Clinical Genetics (M.D.) Physician
  • Seattle, WA
  • NPI 1013007905
  NPD (past)
• Julie Korenberg, M.D.

  • Clinical Molecular Genetics Physician
  • Los Angeles, CA
  • NPI 1831126424

  Clinical Genetics (M.D.)

  NPD (past)
• Alan Frederick Rope

  • Clinical Genetics (M.D.) Physician
  • South San Francisco, CA
  • NPI 1619056181
  NPD (past)
• David Andrew Stevenson, MD

  • Clinical Genetics (M.D.) Physician
  • Palo Alto, CA
  • NPI 1073617460
  NPD (past)
• Ashley Warnock, M.D.

  • Clinical Genetics (M.D.) Physician
  • Philadelphia, PA
  • NPI 1114117348
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1629022827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 CHIPETA WAY",
            "address_2": "PEDS ADMIN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081220",
            "telephone_number": "801-587-7400",
            "fax_number": "801-587-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MEDICAL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-581-8943",
            "fax_number": "801-585-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHAIR",
        "authorized_official_telephone_number": "801-587-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507116",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807154000",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121238900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Critical Care Department of University of Utah
• Pediatric Emergency Medicine Department of University of Utah
• Pediatric Emergency Sedation Service
• Pediatric Endocrinology Department of University of Utah
• Pediatric Gastroenterology Department of University of Utah
• Pediatric Genetics Department of University of Utah
• Pediatric Hematology Oncology-Department of University of Utah
• Pediatric Immunology Department of University of Utah
• Pediatric Infectious Disease Department of University of Utah
• Pediatric Inpatient Services Department of University of Utah

• Clinical Genetics (M.D.) Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Genetics (M.D.) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.