Active NPI
University of Utah Surgical Associates
- Surgery Physician
- Salt Lake City, UT
National Provider Identifier
1831108166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- UNIVERSITY OF UTAH SURGICAL ASSOCIATES
- Practice address
- 50 N Medical Dr
Salt Lake City, UT 84132-0001 - Phone
- (801) 581-2121
- NPI assigned
- Aug 5, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Surgical Critical Care Physician | 2086S0102X | |||
| Pediatric Surgery Physician | 2086S0120X | |||
| Trauma Surgery Physician | 2086S0127X | |||
| Physician Assistant | 363A00000X | |||
| Surgical Physician Assistant | 363AS0400X | |||
| Nurse Practitioner | 363L00000X | |||
| Acute Care Nurse Practitioner | 363LA2100X | |||
| Adult Health Nurse Practitioner | 363LA2200X |
Addresses
Primary practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
PO Box 413035
Salt Lake City, UT 84141-0001
Phone (801) 213-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003064900 | Medicaid | ID |
National Provider Directory
National Provider DirectoryLocations
747 E South Temple
Ste 100
Salt Lake Cty, UT 84102
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Salt Lake City, UT
- NPI 1467542050
-
- Surgical Critical Care Physician
- Salt Lake City, UT
- NPI 1659461275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239667200000",
"number": "1831108166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 413035",
"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": "UNIVERSITY OF UTAH SURGICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"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": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Critical Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Pediatric Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003064900",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
- University of Utah Specialty Services
- University of Utah Specialty Services
- University of Utah Specialty Services
- University of Utah Student Health Center
- University of Utah Student Health Center
- University of Utah Surgical Intensive Care Unit
- University of Utah Surgical Services
- University of Utah Surgical Services
- University of Utah Surgical Services
- University of Utah Surgical Services
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.