Jack Edward Burgeson
MD | Pediatrics | Male
Jack Edward Burgeson, MD is a Salt Lake City, Utah based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jack Edward Burgeson is
100 N Mario Capecchi Dr, Salt Lake City, Utah - 84113-1103. He can be contacted on phone at
801-662-1000.
Jack Edward Burgeson is a sole proprietor of his business.
NPI number (Unique professional ID) for Jack Edward Burgeson is
1194214320 which was assigned by NPPES on 03 May, 2018 and it was last updated on 15 Mar, 2022.
Jack Edward Burgeson license number is
11393172-1205 for Pediatrics (208000000X) in Utah.
Jack Edward Burgeson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jack Edward Burgeson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jack Edward Burgeson |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jack Edward Burgeson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 100 N Mario Capecchi Dr
Salt Lake City, UT, 84113-1103
United States |
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| Phone Number : | 801-662-1000 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1194214320 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 May, 2018 |
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| Last Updated On : | 15 Mar, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack Edward Burgeson are as mentioned. Primary taxonomy code for Jack Edward Burgeson, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 11393172-1205 | UT |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | jburgeson293510@direct.med.utah.edu
| | DIRECT
Direct
| OTHER
Other
CDA/CCD/TXT | 50 N MEDICAL DR,
SALT LAKE CITY, UT, 84132-0001
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 81 N Mario Capecchi Dr
Salt Lake City, UT, 84113-1125
United States |
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| Phone Number : | 801-662-5701 |
|---|
Business Location:
Patients can refer following map for directions to
Jack Edward Burgeson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.