Dr. Jared W Henricksen, MD
Dr. Jared W Henricksen, MD is a Pediatric Medicine in Slc, Utah. Graduated from Medical College of Wisconsin in 2002, 24 years ago. Practices with University of Utah Pediatric Acuity Care, a 30-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 24
- Trained at
- Medical College of Wisconsin
- Licensed in
- UT
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
100 Mario Capecchi DrSlc, UT 84113-1103
Phone: (801) 662-1000
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Critical Care Medicine Physician (primary) | Taxonomy 2080P0203X · Licence 347933-1205 (UT) |
|---|
Record details
| NPI number | 1396762480 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 16, 2006 |
| Last updated in NPPES | April 25, 2022 |
| Certification date | April 25, 2022 |
| Mailing address | 295 Chipeta Way, Po Box 581289, Slc, UT 84108-1287 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Also practises | CRITICAL CARE (INTENSIVISTS) |
| Medical school | MEDICAL COLLEGE OF WISCONSIN |
| Graduated | 2002 (24 years in practice) |
| Group practice | University Of Utah Pediatric Acuity Care — 30 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |