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PEDIATRIC ORTHOPEDIC ASSOCIATES NPI 1659488799


NPI Information

NPI: 1659488799
Provider Name: PEDIATRIC ORTHOPEDIC ASSOCIATES
Classification: Radiology - 2085P0229X
Entity Type: Organization

Specialization: Pediatric Radiology

Address:
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84112
Phone: (801) 588-3900
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PEDIATRIC ORTHOPEDIC ASSOCIATES is a pediatric radiology radiology in Salt Lake City, UT. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. PEDIATRIC ORTHOPEDIC ASSOCIATES NPI is 1659488799. 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 10/16/2008.


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
12085B0100XRadiologyBody ImagingNo
22085N0700XRadiologyNeuroradiologyNo
32085R0202XRadiologyDiagnostic RadiologyNo
42085P0229XRadiologyPediatric RadiologyYes

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
1806656500OTHERIDAHOIDAHO MEDICAID
2=========004MEDICAIDUTAH
3000055759MEDICARE ID-TYPE UNSPECIFIEDUTAH
422074538OTHERCOLORADOCOLORADO MEDICAID
5122394100OTHERWYOMINGWYOMING MEDICIAD

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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