PEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH – NPI #1629022827
Medical Genetics

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

PEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH is a medical geneticist located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1629022827 to PEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH on May 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207SG0201X from the Health Care Provider Taxonomy code set, which is classified as Medical Genetics, specializing in Clinical Genetics (M.D.)

The NPI profile was previously updated about 15 years ago on Sep 06, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH below.

NPI Profile for
PEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH

NPI Number
1629022827
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH
Website
Primary location
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone: (801) 581-8943 Fax: (801) 585-7252
Mailing address
295 CHIPETA WAY
PEDS ADMIN
SALT LAKE CITY, UT 84108-1220
Phone: (801) 587-7400 Fax: (801) 587-7417
Organization Subpart
No
Authorized Official
EDWARD CLARK
CHAIR
Phone: (801) 587-7400
Updated
Identifiers

Identifiers for PEDIATRIC GENETICS DEPARTMENT OF UNIVERSITY OF UTAH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDID807154000
MEDICAIDNV100507116
MEDICAIDWY121238900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207SG0201X
- Medical Genetics / Clinical Genetics (M.D.) (Primary)
208000000X
- Pediatrics

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.