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UTAH CANCER SPECIALISTS PC NPI 1619925369


NPI Information

NPI: 1619925369
Provider Name: UTAH CANCER SPECIALISTS PC

Doing Business As: UTAH CANCER SPECIALISTS

Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

CLIA Number: 46D0958332

Address:
3838 S 700 E STE 100
SALT LAKE CITY, UT
ZIP 84106
Phone: (801) 269-0231
Get Directions

UTAH CANCER SPECIALISTS PC is a medical oncology internal medicine in Salt Lake City, UT. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. UTAH CANCER SPECIALISTS PC NPI is 1619925369. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Utah Cancer Specialists.

The provider's business location address is:

3838 S 700 E STE 100
SALT LAKE CITY, UT
ZIP 84106-494
Phone: (801) 269-0231
Fax: (801) 269-0304

The provider's authorized official is Randy Erickson .
The authorized official title is Ceo and has the following contact phone number (801) 262-9494.

The CLIA number assigned to this NPI record is 46D0958332 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 6/12/2019.


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
1207RH0000XInternal MedicineHematology38662AUTAHNo
2207RH0003XInternal MedicineHematology & OncologyNo
3207RX0202XInternal MedicineMedical OncologyUTAHNo
4207RX0202XInternal MedicineMedical OncologyNo
52081P2900XPhysical Medicine & RehabilitationPain MedicineNo
62085R0001XRadiologyRadiation OncologyNo
7363A00000XPhysician AssistantUTAHNo
8363L00000XNurse PractitionerUTAHNo
9291U00000XClinical Medical LaboratoryNo
10207RX0202XInternal MedicineMedical Oncology38662AUTAHYes

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
1203370OTHERUTAHFEDERAL BLACK LUNG
2CN3088OTHERUTAHRAILROAD MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.