Pediatric Adolescent Medicine Department of Univeristy of Utah
NPI 1639123896 · Pediatric Adolescent Medicine Physician · Salt Lake City, UT
Pediatric Adolescent Medicine Department of Univeristy of Utah is a Pediatric Adolescent Medicine Physician organization in Salt Lake City, UT (NPI 1639123896).
Provider details
- NPI number
- 1639123896
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Clark, Chair(801) 587-7400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2011-09-06
Frequently asked questions
- What is Pediatric Adolescent Medicine Department of Univeristy of Utah's NPI number?
- Pediatric Adolescent Medicine Department of Univeristy of Utah's National Provider Identifier (NPI) is 1639123896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Adolescent Medicine Department of Univeristy of Utah?
- Pediatric Adolescent Medicine Department of Univeristy of Utah is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pediatric Adolescent Medicine Department of Univeristy of Utah located?
- Pediatric Adolescent Medicine Department of Univeristy of Utah's practice location on file with NPPES is 50 N Medical Dr, Salt Lake City, UT 84132-0001.
- What is Pediatric Adolescent Medicine Department of Univeristy of Utah's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Adolescent Medicine Department of Univeristy of Utah is (801) 581-3501.
- Who is the authorized official for Pediatric Adolescent Medicine Department of Univeristy of Utah?
- The authorized official listed on Pediatric Adolescent Medicine Department of Univeristy of Utah's NPPES record is Edward Clark, Chair. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Adolescent Medicine Department of Univeristy of Utah's NPI active?
- Yes — Pediatric Adolescent Medicine Department of Univeristy of Utah's NPI (1639123896) is active in the NPPES registry as of the last update on 2011-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.