Active NPI
U-U Hematology-Oncology Division
- Internal Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1811946619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- U-U HEMATOLOGY-ONCOLOGY DIVISION
- Practice address
- 50 N Medical Dr
Salt Lake City, UT 84132-0001 - Phone
- (801) 581-2121
- NPI assigned
- May 9, 2006
- Last updated
- Apr 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janell I Madonna
- Title
- Director of Contracting and Pe
- Phone
- (801) 587-6464
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Nurse Practitioner | 363L00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Pediatric Nurse Practitioner | 363LP0200X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Hematology (Internal Medicine) Physician | 207RH0000X | |||
| Hematology & Oncology Physician | 207RH0003X | |||
| Medical Oncology Physician | 207RX0202X |
Addresses
Primary practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
PO Box 413033
Salt Lake City, UT 84141-0001
Phone (801) 213-3800
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122078101 | Medicaid | WY | |
| 003038700 | Medicaid | ID | |
| 122078100 | Medicaid | WY | |
| 205335900 | Other | DEPARTMENT OF LABOR | |
| 807321800 | Medicaid | ID | |
| 100502393 | Medicaid | NV |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239667200000",
"number": "1811946619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 413033",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841410001",
"telephone_number": "801-213-3800"
},
{
"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": "801-581-2121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "U-U HEMATOLOGY-ONCOLOGY DIVISION",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2009-04-14",
"status": "A",
"authorized_official_last_name": "MADONNA",
"authorized_official_first_name": "JANELL",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "DIRECTOR OF CONTRACTING AND PE",
"authorized_official_telephone_number": "801-587-6464"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122078101",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003038700",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122078100",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR",
"identifier": "205335900",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807321800",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100502393",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
- U U General Medicine Division
- U-U Alcohol & Drug Clinic School of Medicine
- U-U Anesthesiology Department NCC-Sicu School of Medicine
- U-U Endocrinology Division
- U-U Gastroenterology Division
- U-U Human Development Division
- U-U Infectious Disease Division
- U-U Noninvasive Vascular Lab
- U-U Pediatric Dermatology
- U-U Pulmonary Division
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.