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WASATCH NEONATAL LC NPI 1770513095


NPI Information

NPI: 1770513095
Provider Name: WASATCH NEONATAL LC

Doing Business As: WASATCH NEONATAL

Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
750 W 800 N
OREM, UT
ZIP 84057
Phone: (801) 655-5425
Get Directions

WASATCH NEONATAL LC is a neonatal-perinatal medicine pediatrics in Orem, UT. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. WASATCH NEONATAL LC NPI is 1770513095. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wasatch Neonatal.

The provider's business location address is:

750 W 800 N
OREM, UT
ZIP 84057-660
Phone: (801) 655-5425
Fax: (801) 655-5426

The provider's authorized official is Dale R Gerstmann .
The authorized official title is Executive Director and has the following contact phone number (801) 655-5425.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 8/22/2020.


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
12080N0001XPediatricsNeonatal-Perinatal Medicine184816-1205UTAHYes
2363LN0005XNurse PractitionerNeonatal, Critical Care2210714405UTAHX

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: 11/14/2023

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