Active NPI
U-U Human Development Division
- Internal Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1881627016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- U-U HUMAN DEVELOPMENT DIVISION
- Practice address
- 50 N Medical Dr
Salt Lake City, UT 84132-0001 - Phone
- (801) 581-7606
- NPI assigned
- Jul 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Medical Physician Assistant | 363AM0700X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Adult Health Nurse Practitioner | 363LA2200X | NU | ||
| Gerontology Nurse Practitioner | 363LG0600X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | NU |
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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805982200 | Medicaid | ID |
National Provider Directory
National Provider DirectoryLocations
50 N Medical Dr
Ste 4R250
Salt Lake City, UT 84132
Phone (801) 581-2628
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rheumatology Physician
- Salt Lake City, UT
- NPI 1164512786
-
- Nurse Practitioner
- West Valley City, UT
- NPI 1184655532
-
- Gerontology Nurse Practitioner
- Salt Lake City, UT
- NPI 1558484808
-
- Specialist
- Salt Lake City, UT
- NPI 1982647491
-
- Geriatric Medicine (Internal Medicine) Physician
- Atlanta, GA
- NPI 1568567568
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Chicago, IL
- NPI 1578746533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239667200000",
"number": "1881627016",
"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": "801-581-7606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "U-U HUMAN DEVELOPMENT DIVISION",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"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": "NU",
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805982200",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
- 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 Hematology-Oncology Division
- U-U Infectious Disease Division
- U-U Noninvasive Vascular Lab
- U-U Pediatric Dermatology
- U-U Pulmonary Division
- U-U Rehabilitation Medicine
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.