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

Dr. Shad Outsen, MD

Individual provider Pediatric Critical Care Medicine Physician · NPI 1487815536

Dr. Shad Outsen, MD is a Pediatric Critical Care Medicine Physician in Provo, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-7481
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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 7365706-1205 (UT)

Record details

NPI number1487815536
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 21, 2008
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

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