Pediatric Cardiology Department Of University Of Utah
Pediatric Cardiology
Pediatric Cardiology Department Of University Of Utah is a Salt Lake City, Utah based Pediatric center with medical specialization in
Pediatric Cardiology.
It is located at
100 Mario Capecchi Dr, Salt Lake City, Utah - 84113-1103. They can be contacted on phone at
801-662-5400 and fax number 801-662-5404.
NPI number (Unique professional ID) for Pediatric Cardiology Department Of University Of Utah is
1114096195 which was assigned by NPPES on 06 Nov, 2006 and it was last updated on 15 Sep, 2009.
Pediatric Cardiology Department Of University Of Utah provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Pediatric Cardiology Department Of University Of Utah basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
|---|
| Provider Name : | Pediatric Cardiology Department Of University Of Utah |
|---|
Business Address:
Pediatric Cardiology Department Of University Of Utah 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 Mario Capecchi Dr
Salt Lake City, UT, 84113-1103
United States |
|---|
| Phone Number : | 801-662-5400 |
|---|
| Fax Number : | 801-662-5404 |
|---|
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 : | 1114096195 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 06 Nov, 2006 |
|---|
| Last Updated On : | 15 Sep, 2009 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Edwardb Clark |
|---|
| Authorized Official Credential : | MD |
|---|
| Official Title or Position : | DEPT CHAIR |
|---|
| Phone Number : | 801-587-7400 |
|---|
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 Pediatric Cardiology Department Of University Of Utah are as mentioned. Primary taxonomy code for Pediatric Cardiology Department Of University Of Utah is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | | |
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Cardiology Department Of University Of Utah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 200065910A | MEDICAID | OK | |
| 22001832 | MEDICAID | CO | |
| =========001 | MEDICAID | UT | |
| 200817950A | MEDICAID | IN | |
| 100507101 | MEDICAID | NV | |
| 807148600 | MEDICAID | ID | |
| 121313000 | MEDICAID | WY | |
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 : | 295 Chipeta Way, U Of U Som Dept Of Pediatrics
Salt Lake City, UT, 84108-1220
United States |
|---|
| Phone Number : | 801-587-7400 |
|---|
| Fax Number : | 801-587-7417 |
|---|
Business Location:
Patients can refer following map for directions to
Pediatric Cardiology Department Of University Of Utah practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.