PEDIATRIC NEPHROLOGY DEPARTMENT OF UNIVERSITY OF UTAH – Pediatric Nephrology Physician, NPI 1114027968

PEDIATRIC NEPHROLOGY DEPARTMENT OF UNIVERSITY OF UTAH is a healthcare provider. based in Salt lake city, Utah. specializing in Pediatric Nephrology Physician. The NPI Number for PEDIATRIC NEPHROLOGY DEPARTMENT OF UNIVERSITY OF UTAH is 1114027968

Main info

Organization
Name
PEDIATRIC NEPHROLOGY DEPARTMENT OF UNIVERSITY OF UTAH
NPI
1114027968
Phone
(801) 587-7400
Address
295 CHIPETA WAY
Authorized Official
DR. EDWARD B CLARK DEPT CHAIR MD
Enumeration Date
22 September 2006
Last Update Date
6 September 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for PEDIATRIC NEPHROLOGY DEPARTMENT OF UNIVERSITY OF UTAH

  • Williams Building, 295, Chipeta Way, Research Park, Salt Lake City, Salt Lake County, Utah, 84113, United States

    U OF U SOM DEPT OF PEDIATRICS

    SALT LAKE CITY, UT 841081220

    Phone: (801) 587-7400

    Fax: (801) 587-7417

    Type: Mailing

  • 100, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States

    PEDIATRIC NEPHROLOGY

    SALT LAKE CITY, UT 841131103

    Phone: (801) 588-2000

    Fax: (801) 587-7406

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84108)

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Frequently asked questions

What is PEDIATRIC NEPHROLOGY DEPARTMENT OF UNIVERSITY OF UTAH's NPI number?
PEDIATRIC NEPHROLOGY DEPARTMENT OF UNIVERSITY OF UTAH's NPI is 1114027968 — the number used across U.S. healthcare to identify this provider.
Is PEDIATRIC NEPHROLOGY DEPARTMENT OF UNIVERSITY OF UTAH still an active registrant?
PEDIATRIC NEPHROLOGY DEPARTMENT OF UNIVERSITY OF UTAH carries an active NPI according to the public dataset.
What clinical focus is listed for PEDIATRIC NEPHROLOGY DEPARTMENT OF UNIVERSITY OF UTAH?
At a glance, PEDIATRIC NEPHROLOGY DEPARTMENT OF UNIVERSITY OF UTAH is tied to Pediatric Nephrology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for PEDIATRIC NEPHROLOGY DEPARTMENT OF UNIVERSITY OF UTAH?
Travel planning: use Salt Lake City, Utah as the reference point for PEDIATRIC NEPHROLOGY DEPARTMENT OF UNIVERSITY OF UTAH, then confirm.
When was this NPI issued?
Enumeration for PEDIATRIC NEPHROLOGY DEPARTMENT OF UNIVERSITY OF UTAH is noted as September 22, 2006 where the registry provides it.

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