NPIMap

Organization Active NPI

Dermatology Division University of Utah Medical Center

Doing business as U-U Dermatology Division School of Medicine

  • Dermatology Physician
  • Salt Lake City, UT
National Provider Identifier
1922096114
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1617461205 Issued in UT
Legal business name
DERMATOLOGY DIVISION UNIVERSITY OF UTAH MEDICAL CENTER
Doing business as
U-U Dermatology Division School of Medicine
Practice address
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone
(801) 587-6340
Fax
(801) 587-6346
NPI assigned
Oct 11, 2005
Last updated
Mar 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Dr. Samuel Finlayson
Title
Chief Clinical Officer
Phone
(801) 587-6336

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 1617461205 UT
Allergy Physician 207KA0200X 1617461205 UT
Dermatology Physician 207N00000X 1617461205 UT Primary
MOHS-Micrographic Surgery Physician 207ND0101X 1617461205 UT
Dermatopathology Physician 207ND0900X 1617461205 UT
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 1617461205 UT
Pediatric Dermatology Physician 207NP0225X 1617461205 UT
Procedural Dermatology Physician 207NS0135X 1617461205 UT

Addresses

Primary practice location

50 N Medical Dr
Salt Lake City, UT 84132-0001

Mailing address

PO Box 841052
Los Angeles, CA 90084-1052
Phone (801) 581-2955

Other names 1

  • U-U Dermatology Division School of Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, NV3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031122000107 UT Part B Supplier - Clinic/Group Practice 9638073497 Receives reassigned benefits from 96 practitioners
Practice locations: Salt Lake City, UT
O20200316002698 WY Part B Supplier - Clinic/Group Practice 9638073497 Receives reassigned benefits from 9 practitioners
Practice locations: Rock Springs, WY
O20210823000885 NV Part B Supplier - Clinic/Group Practice 9638073497 Receives reassigned benefits from 8 practitioners
Practice locations: Elko, NV

National Provider Directory

National Provider Directory

Locations

6095 S 300 E
Murray, UT 84107

324 Tenth Ave
#224
Salt Lake Cty, UT 84103
Phone (801) 408-7660

6095 S Fashion Blvd
Salt Lake Cty, UT 84107
Phone (801) 264-8504

220 Millpond
Tooele, UT 84074
Phone (435) 843-3000

Practitioners & affiliated clinicians

Practitioners 113

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.

View all 113

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1922096114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841052",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900841052",
            "telephone_number": "801-581-2955",
            "fax_number": "801-587-6346"
        },
        {
            "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": "801-587-6340",
            "fax_number": "801-587-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY DIVISION UNIVERSITY OF UTAH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "FINLAYSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "801-587-6336",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "UT",
            "license": "1617461205",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "UT",
            "license": "1617461205",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "1617461205",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "UT",
            "license": "1617461205",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "UT",
            "license": "1617461205",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "UT",
            "license": "1617461205",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "UT",
            "license": "1617461205",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "UT",
            "license": "1617461205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U-U Dermatology Division School of Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.