PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH – Pediatric Adolescent Medicine Physician, NPI 1639123896

PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH is a healthcare provider. based in Salt lake city, Utah. specializing in Pediatric Adolescent Medicine Physician. The NPI Number for PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH is 1639123896

Main info

Organization
Name
PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH
NPI
1639123896
Phone
(801) 587-7400
Address
295 CHIPETA WAY
Authorized Official
DR. EDWARD B CLARK CHAIR MD
Enumeration Date
20 May 2006
Last Update Date
6 September 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:20State licenses:0Digital endpointsOther names

Loading map...

Provider Addresses for PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH

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

    PEDS ADMIN

    SALT LAKE CITY, UT 841081220

    Phone: (801) 587-7400

    Fax: (801) 587-7417

    Type: Mailing

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

    SALT LAKE CITY, UT 841320001

    Phone: (801) 581-3501

    Fax: (801) 581-4920

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 84108)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH?
Save NPI 1639123896 if you need a stable reference for PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH.
Is PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH work in?
You can think of PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH as practicing within Pediatric Adolescent Medicine Physician. Clinical services aligned with this taxonomy classification.
Does PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH practice in Utah?
You will see Salt Lake City, Utah on file for PEDIATRIC ADOLESCENT MEDICINE DEPARTMENT OF UNIVERISTY OF UTAH alongside any extra practice locations.
What if Salt Lake City, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

DR. CHARLES T DELLINGER (MD)

Pediatrics Physician
PO BOX 45443
NPI: 1114990157

DR. RHONDA L WOOLWINE (MD)

Pediatric Adolescent Medicine Physician
PO BOX 45443
NPI: 1285607242

DR. SHIREE SAUER (MD)

Pediatric Adolescent Medicine Physician
PO BOX 45443
NPI: 1932172996

DR. RICHARD G GEHRET (MD)

Pediatric Adolescent Medicine Physician
PO BOX 45443
NPI: 1528031127

Unknown Individual

Adolescent Medicine (Internal Medicine) Physician
PO BOX 413021
NPI: 1053369942

RICHARD YOUNG FARNSWORTH (M.D.)

Pediatric Adolescent Medicine Physician
Utah Valley Pediatrics, 1355, North University Avenue, North Park, Pleasant View, Provo, Utah County, Utah, 84604, United States
NPI: 1780693929

DR. JOEL A THOMPSON (M.D.)

Pediatrics Physician
PO BOX 581100
NPI: 1912071093

ERICA TARBOX (M.D.)

Pediatric Adolescent Medicine Physician
PO BOX 746638
NPI: 1609925387
PO BOX 27128
NPI: 1922136126