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

Mr. Eric Wallace Glissmeyer, MD

Individual provider Children's Hospital · NPI 1245490424

Mr. Eric Wallace Glissmeyer, MD is a Pediatric Medicine in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2008, 18 years ago. Practices with University of Utah Pediatric Acuity Care, a 30-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
18
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2008
Specialties on file
3
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

295 Chipeta Way
Salt Lake City, UT 84108-1287
Phone: (801) 587-7450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence 7891781-1205 (UT)
Children's Hospital Taxonomy 282NC2000X (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245490424
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 11, 2008
Last updated in NPPESDecember 10, 2021
Certification dateDecember 10, 2021
Mailing address1966 S 700 E, Bountiful, UT 84010-4104

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice University Of Utah Pediatric Acuity Care — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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