# UNIVERSITY OF UTAH ORTHOPEDIC CONSULTANTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487680609
- **Authorized official:** CHARLES L SALTZMAN MD (DEPARTMENT CHAIR)
- **Authorized official phone:** (801) 581-3998

## Contact information

- **Practice address:** 590 WAKARA WAY, SALT LAKE CITY, UT 84108-1200
- **Practice address phone:** (801) 581-3998
- **Mailing address:** PO BOX 58108, SALT LAKE CITY, UT 84158-0108
- **Mailing address phone:** (801) 581-3998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | NULL | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | NULL | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | — | — |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 09/06/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 003062200 | IDAHO MEDICAID | ID |
| 01 | — | 100502780 | NEVADA MEDICAID | NV |
| 01 | — | 108139000 | WYOMING MEDICAID | WY |