Active NPI
U U Cardiology Division School of Medicine
- Internal Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1952330813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- U U CARDIOLOGY DIVISION SCHOOL OF MEDICINE
- Practice address
- 50 N Medical Dr
Salt Lake City, UT 84132-0001 - Phone
- (801) 581-2121
- NPI assigned
- Jul 2, 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 8
| 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 | ||
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Cardiovascular Disease Physician | 207RC0000X | NU | ||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | NU | ||
| Public Health & General Preventive Medicine Physician | 2083P0901X | 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 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190225100 | Other | DEPARTMENT OF LABOR | |
| H9691 | Medicaid | NM | |
| 807289000 | Medicaid | ID | |
| 876000525271 | Medicaid | UT | |
| 100502131 | Medicaid | NV | |
| 122305400 | Medicaid | WY | |
| 122305401 | Medicaid | WY | |
| 805951400 | Medicaid | ID |
National Provider Directory
National Provider DirectoryLocations
546 S Chipeta Way
Salt Lake City, UT 84108
Phone (801) 581-7715
196 E 2000 N
Tooele, UT 84074
Phone (435) 833-0229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239667200000",
"number": "1952330813",
"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": "801-581-2121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "U U CARDIOLOGY DIVISION SCHOOL OF MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"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": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR",
"identifier": "190225100",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H9691",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807289000",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "876000525271",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100502131",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122305400",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122305401",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805951400",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
- Andrew Tyser, M.D.
- U Family Health Billing University of Utah
- U of U Plastic Surgery Associates
- U of U Rocky Mountain Ophthalmology
- U U Anesthesiology Department School of Medicine
- U U General Medicine Division
- 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
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.