University of Utah Pediatric Acuity Care
Organization Active NPI Pediatric Critical Care Medicine Physician · Salt Lake City, UT
NPI 1891156741 · NPPES record last updated Jan 22, 2021
Key facts
- NPI
- 1891156741
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Critical Care Medicine Physician 2080P0203X
- Legal business name
- UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE
- Practice address
- 100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103 - Phone
- (801) 587-6336
- NPI assigned
- Mar 18, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE
Authorized official
- Name
- Dr. Samuel Finlayson, MD
- Title
- Chief Clinical Officer
- Phone
- (801) 587-6336
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 4
Practitioners 77
-
Nicholas Ryan Carr, D.O.
-
Glen Forrest Huff, M.D.
-
Robin Davis Kim, MD
-
Chari D. Larsen, M.D.
-
Tiana Monostory, MD
-
Amy S Smith, M.D.
-
Kajsa E. Vlasic, MD
-
Cheryl Yang, MD
-
Patricia Aguayo, M.D.
-
Jessica M. Davidson, M.D.
-
Luke Dwyer, MD
-
Mitchell Thomas Hamele, M.D.
-
Nathan Money, D.O
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160713000869 | UT | Part B Supplier - Clinic/Group Practice | 6406148345 |
Receives reassigned benefits from 196 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Riverton, UT; Salt Lake City, UT |
National Provider Directory
- Tax ID family
- University of Utah Pediatric Acuity Care
- Part of
- University of Utah Pediatric Acuity Care
Locations
100 N Mario Capecchi Dr
Ste 1500
Salt Lake City, UT 84113
Phone (801) 662-3900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician |
2080P0203X | Yes |
Addresses
Primary practice location
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Mailing address
PO Box 841450
Los Angeles, CA 90084-1450
Phone (801) 213-3900
Other names
- Primary Children's Hospital - Pediatric Critical Care
Other providers in Salt Lake City, UT
- University of Utah Pediatric Acuity Care
- University of Utah Pediatric Acuity Care
- University of Utah Pediatric Acuity Care
- University of Utah Pediatric Acuity Care
- University of Utah Pediatric Acuity Care
- University of Utah Pediatric Adolescent Professional Services
- University of Utah Pediatric Behavioral Health Services
- University of Utah Pediatric Behavioral Health Services
- University of Utah Pediatric Behavioral Health Services
- University of Utah Pediatric Behavioral Health Services
All providers in Salt Lake City, UT · Pediatric Critical Care Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.