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MATERNAL FETAL SERVICES OF UTAH LLC NPI 1457393084


NPI Information

NPI: 1457393084
Provider Name: MATERNAL FETAL SERVICES OF UTAH LLC
Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Organization

Specialization: Maternal & Fetal Medicine

Address:
1140 E 3900 S
SUITE 390
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 743-4700
Get Directions

MATERNAL FETAL SERVICES OF UTAH LLC is a maternal and fetal medicine obstetrics gynecology in Salt Lake City, UT. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. MATERNAL FETAL SERVICES OF UTAH LLC NPI is 1457393084. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1140 E 3900 S
SUITE 390
SALT LAKE CITY, UT
ZIP 84124-228
Phone: (801) 743-4700
Fax: (801) 743-4705

The provider's authorized official is David J. Kane .
The authorized official title is Vp and has the following contact phone number (801) 568-5999.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 5/20/2010.


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
1207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineYes

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
1200134000AMEDICAIDOKLAHOMA
2121073400MEDICAIDWYOMING
3000057884MEDICARE PINUTAH
41457393084MEDICAIDVIRGINIA
51366723MEDICARE PINIDAHO
6DP9914MEDICARE PIN
7DP9915MEDICARE PIN
860271256MEDICAIDCOLORADO
91457393084MEDICAIDNEVADA
10807101900MEDICAIDIDAHO

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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