DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: UNIVERSITY OF UTAH OTOLARYNGOLOGY PEDIATRICS

MEDICARE: UNIVERSITY OF UTAH OTOLARYNGOLOGY PEDIATRICS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207YP0228XPediatric Otolaryngology Physician
2231H00000XAudiologist
3231HA2400XAssistive Technology Practitioner Audiologist
4207Y00000XOtolaryngology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4CJ3240OTHERUTRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508875857
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY OF UTAH OTOLARYNGOLOGY PEDIATRICS
Provider Business Mailing Address
First Line : PO BOX 413035
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84141-0001
Country : US
Telephone Number : 801-213-3800
Fax Number :
Provider Business Practice Location Address
First Line : 100 MARIO CAPECCHI DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84113-1103
Country : US
Telephone Number : 801-588-2000
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF CONTRACTING AND PE
Name : JANELL I MADONNA
Credential :
Telephone Number : 801-587-6464
Provider Enumeration Date : 08/05/2006
Last Update Date : 04/14/2009

Similar Medicare Providers

1184404048 — LINDSAY WEST RN
Practice Location Address:
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
84113-1103
Practice Phone: 801-662-1000
Practice Fax:
1114875952 — HANNAH FOX PSYD
Practice Location Address:
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
84113-1103
Practice Phone: 801-662-1000
Practice Fax:
1376005553 — DR. SPENCER WALKER EBERHARD DO
Practice Location Address:
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
84113-1103
Practice Phone: 801-662-1000
Practice Fax:
1952431074 — ARNOLD C MERROW JR. MD
Practice Location Address:
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
84113-1103
Practice Phone: 801-487-0451
Practice Fax:
1538629571 — MADELINE P. RIPPSTEIN MD
Practice Location Address:
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
84113-1103
Practice Phone: 801-662-5701
Practice Fax:
1851667919 — DR. MEGHAN J DRISCOLL MD
Practice Location Address:
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
84113-1103
Practice Phone: 801-581-2121
Practice Fax:
1720859317 — MELISSA ARIAS CALLAWAY NP
Practice Location Address:
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT
84113-1103
Practice Phone: 801-662-1000
Practice Fax:

Directions to “UNIVERSITY OF UTAH OTOLARYNGOLOGY PEDIATRICS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.