UNIVERSITY OF UTAH DEPARTMENT OF OB-GYN NPI 1265468524

NPI Information

  • NPI: 1265468524
  • Provider Name: UNIVERSITY OF UTAH DEPARTMENT OF OB-GYN
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 50 N MEDICAL DR
    SALT LAKE CITY, UT
    ZIP 84132
  • Phone: (801) 581-2719

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NPI Details

UNIVERSITY OF UTAH DEPARTMENT OF OB-GYN is an obstetrics gynecology in Salt Lake City, UT. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. UNIVERSITY OF UTAH DEPARTMENT OF OB-GYN NPI is 1265468524. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132-001
Phone: (801) 581-2719

The provider's authorized official is C. Matthew Peterson .
The authorized official title is Department Chair and has the following contact phone number (801) 581-2719.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 11/15/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VC0200XObstetrics & GynecologyCritical Care MedicineNo
2207VG0400XObstetrics & GynecologyGynecologyNo
3207VX0000XObstetrics & GynecologyObstetricsNo
4207V00000XObstetrics & GynecologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1121965100OTHERWYOMINGWYOMING MEDICAID
2000057391MEDICARE ID-TYPE UNSPECIFIEDUTAH
3100503086OTHERNEVADANEVADA MEDICAID
4003022600OTHERIDAHOIDAHO MEDICAID
5=========005MEDICAIDUTAH

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: 3/30/2025

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