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UOU PEDIATRIC ORTHOPEDICS NPI 1073620100


NPI Information

NPI: 1073620100
Provider Name: UOU PEDIATRIC ORTHOPEDICS
Classification: Orthopaedic Surgery - 207XP3100X
Entity Type: Organization

Specialization: Pediatric Orthopaedic Surgery

Address:
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84112
Phone: (801) 588-3900
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UOU PEDIATRIC ORTHOPEDICS is a pediatric orthopaedic surgery orthopaedic surgery in Salt Lake City, UT. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. UOU PEDIATRIC ORTHOPEDICS NPI is 1073620100. 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 84112-924
Phone: (801) 588-3900

The provider's authorized official is Alan Kendrick Stotts .
The authorized official title is Department Chair and has the following contact phone number (801) 588-3900.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 9/6/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryNo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
3207XX0801XOrthopaedic SurgeryOrthopaedic TraumaNo
4207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100500963OTHERNEVADANEVADA MEDICAID
2122233300OTHERWYOMINGWYOMING MEDICAID
3000055709MEDICARE ID-TYPE UNSPECIFIEDUTAHMEDICARE
4200072630AOTHEROKLAHOMAOKLAHOMA MEDICAID
5805675500OTHERIDAHOIDAHO MEDICAID
6=========002MEDICAIDUTAH

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: 4/28/2024

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