Salt Lake Pedia Center Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1886171205 Issued in UT

Legal business name

SALT LAKE PEDIA CENTER INC

Practice address

77 South 700 East
Suite #270
Salt Lake City, UT 84102

Phone

(801) 595-8844

Fax

(801) 595-8844

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Rita Fox

Title

Pediatrician

Phone

(801) 595-8844

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Anne Hutchison

  • Physician Assistant
  • Salt Lake City, UT
  • NPI 1407586654
  NPD

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982777074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SOUTH 700 EAST",
            "address_2": "SUITE #270",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84102",
            "telephone_number": "801-595-8844",
            "fax_number": "801-595-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SOUTH 700 EAST",
            "address_2": "SUITE #270",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84102",
            "telephone_number": "801-595-8844",
            "fax_number": "801-595-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT LAKE PEDIA CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "801-595-8844"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "1886171205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470667414024",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salt Lake Mental Health, P.C.
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• Salt Lake Occupational Therapy, LLC
• Salt Lake Operations, LLC
• Salt Lake Orthopaedic Specialist, LLC
• Salt Lake Pediatric Dentistry
• Salt Lake Podiatry Center PLLC
• Salt Lake Region Neurosurgery LLC
• Salt Lake Regional Medical Center LP
• Salt Lake Regional Medical Center LP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.