Pediatrics, Pediatric Emergency Medicine
PEDIATRIC EMERGENCY SEDATION SERVICE
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1245524651 · enumerated 2011-06-02 · record updated 2011-09-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mrs. JANELL MADONNA, Contracting Director · (801) 587-6464
Addresses and phones
- Mailing address PO BOX 413021, SALT LAKE CITY, UT, 84141-3021 (801) 213-3900 Google Maps Apple Maps OpenStreetMap
- Practice location 100 MARIO CAPECCHI DR, SALT LAKE CITY, UT, 84113-1103 (801) 662-1234 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics, Pediatric Emergency Medicine 2080P0204X · Primary · License 3176341205 UT
In this directory
UT Salt Lake County Salt Lake City Pediatrics, Pediatric Emergency Medicine
Locations and evidence
-
Practice location
SALT LAKE CITY, UT, 841131103
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.