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DEPARTMENT OF NEUROLOGY SCHOOL OF MEDICINE UNIVERSITY OF UTAH NPI 1326092511


NPI Information

NPI: 1326092511
Provider Name: DEPARTMENT OF NEUROLOGY SCHOOL OF MEDICINE UNIVERSITY OF UTAH
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 585-6387
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DEPARTMENT OF NEUROLOGY SCHOOL OF MEDICINE UNIVERSITY OF UTAH is a neurology psychiatry neurology in Salt Lake City, UT. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DEPARTMENT OF NEUROLOGY SCHOOL OF MEDICINE UNIVERSITY OF UTAH NPI is 1326092511. 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) 585-6387

The provider's authorized official is Stefan Pulst .
The authorized official title is Department Chair and has the following contact phone number (801) 585-6387.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 10/19/2011.


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
1103G00000XClinical NeuropsychologistNo
22084N0600XPsychiatry & NeurologyClinical NeurophysiologyNo
32084V0102XPsychiatry & NeurologyVascular NeurologyNo
4363L00000XNurse PractitionerNo
5363LA2100XNurse PractitionerAcute CareNo
6363LA2200XNurse PractitionerAdult HealthNo
7363LC0200XNurse PractitionerCritical Care MedicineNo
8363LF0000XNurse PractitionerFamilyNo
9363LP2300XNurse PractitionerPrimary CareNo
102084N0400XPsychiatry & NeurologyNeurologyYes

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
1=========001MEDICAIDUTAH
200008059MEDICARE ID-TYPE UNSPECIFIEDUTAHMEDICARE GROUP 7
3100502570MEDICAIDNEVADA
4807423300MEDICAIDIDAHO
5003060200MEDICAIDIDAHO
6122358500MEDICAIDWYOMING

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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