UNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY – Neurological Surgery Physician, NPI 1417068271

Neurological Surgery Physician

UNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY is a healthcare provider. based in Salt lake city, Utah. specializing in Neurological Surgery Physician. The NPI Number for UNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY is 1417068271

Main info

Organization

Name

UNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY

NPI

1417068271

Phone

(801) 581-6909

Address

50 N MEDICAL DR

Authorized Official

DR. WILLIAM T COULDWELL DEPT CHAIR MD

Enumeration Date

31 August 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 UNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY

50, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States
3B409-SOM
SALT LAKE CITY, UT 841320001
Phone: (801) 581-6909
Fax: (801) 581-4385
Type: Mailing
100, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States
SUITE 2400
SALT LAKE CITY, UT 841131103
Phone: (801) 588-3400
Fax: (801) 588-3409
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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 84132)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for UNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY?

UNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY — NPI 1417068271 — is the standard way to identify this listing.

Can I rely on UNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY being an active provider?

As of the registry snapshot, UNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY is marked active.

What taxonomy line describes UNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY?

For research purposes, treat UNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY as Neurological Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect UNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY on a map?

Expect Salt Lake City, Utah as a primary anchor for UNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY unless the record lists multiple sites.

Why does UNIVERSITY OF UTAH DIVISION OF PEDIATRIC NEUROSURGERY have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.