DR. MD Mark Douglas Ebert, NPI 1609901610
Pediatric Radiology Physician in Salt Lake City, UT, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1609901610 |
| NPI Entity Type | Individual |
| Provider Name | DR. MD Mark Douglas Ebert |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 100 N Mario Capecchi Dr, Dept Of Medical Imaging, Salt Lake City, UT, US |
| Provider Mailing Address | 100 N Mario Capecchi Dr, Dept Of Medical Imaging, Salt Lake City, UT, US, 841131103 |
| Gender | Male |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pediatric Radiology Physician |
| Classification | |
| Group | |
| License No. | 8209945-1205 |
| License State | UT |
| Description | A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| M-11694 | ID | No | |||
| MED-PHYS-LIC-52597 | MT | No |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | No | 5444 S. Green St., Murray, UT, US |
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