Pediatric Radiology, P.C.

Primary specialty

Pediatric Radiology PhysicianTaxonomy code 2085P0229X

Legal business name

PEDIATRIC RADIOLOGY, P.C.

Practice address

100 N Medical Dr
Salt Lake City, UT 84113-1103

Phone

(801) 662-1900

Fax

(801) 662-1810

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Keith S White, MD

Title

President

Phone

(801) 487-0451

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1861502254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 E 4500 S",
            "address_2": "PMB 511",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073049",
            "telephone_number": "801-487-0451",
            "fax_number": "801-487-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MEDICAL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841131103",
            "telephone_number": "801-662-1900",
            "fax_number": "801-662-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC RADIOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-487-0451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Pediatric Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Orthopedic Associates
• Pediatric Orthotic and Prosthetic Services- West, LLC
• Pediatric Pathology Associates
• Pediatric PM and R
• Pediatric Pulmonology Department of University of Utah
• Pediatric Rapid Treatment Unit Department of University of Utah
• Pediatric Sleep Medicine Department of University of Utah
• Pediatric Urology Associates
• Pediatrix Medical Group, Inc.
• Wesley Pedicini, MD

• Pediatric Radiology Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pediatric Radiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.