Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

University Cardiothoracic-Pediatric

Organization Surgery Physician · NPI 1790794014

University Cardiothoracic-Pediatric is a Surgery Physician in Salt Lake City, Utah. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 588-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Pediatric Surgery Physician Taxonomy 2086S0120X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X

Record details

NPI number1790794014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janell Madonna — Director Of Contracting And Pe · (801) 587-6464
NPI enumeratedAugust 5, 2006
Last updated in NPPESApril 14, 2009
Mailing addressPo Box 58049, Salt Lake City, UT 84158-0049

Other providers in Salt Lake City