UNIVERSITY OF UTAH OTOLARYNGOLOGY PEDIATRICS NPI 1508875857

NPI Information

  • NPI: 1508875857
  • Provider Name: UNIVERSITY OF UTAH OTOLARYNGOLOGY PEDIATRICS
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Organization
  • Address: 100 MARIO CAPECCHI DR
    SALT LAKE CITY, UT
    ZIP 84113
  • Phone: (801) 588-2000

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NPI Details

UNIVERSITY OF UTAH OTOLARYNGOLOGY PEDIATRICS is an otolaryngology in Salt Lake City, UT. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. UNIVERSITY OF UTAH OTOLARYNGOLOGY PEDIATRICS NPI is 1508875857. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 588-2000

The provider's authorized official is Janell I Madonna .
The authorized official title is Director Of Contracting And Pe and has the following contact phone number (801) 587-6464.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 4/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YP0228XOtolaryngologyPediatric OtolaryngologyNo
2231H00000XAudiologistNo
3231HA2400XAudiologistAssistive Technology PractitionerNo
4207Y00000XOtolaryngologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CJ3240OTHERUTAHRAILROAD MEDICARE
2=========007MEDICAIDUTAH
3000055883MEDICARE ID-TYPE UNSPECIFIEDUTAH
4805957800MEDICAIDIDAHO
545200289MEDICAIDCOLORADO
657507325MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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