Dr Robert G Bolte, MD | |
100 N Medical Dr, Salt Lake City, UT 84113-1103 | |
(801) 588-2233 | |
(801) 588-2236 |
Full Name | Dr Robert G Bolte |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 100 N Medical Dr, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063454064 | NPI | - | NPPES |
002085363 | Medicaid | NV | |
003594800 | Medicaid | ID | |
0142664 | Medicaid | MT | |
1172456 | Medicaid | LA | |
06395 | Medicaid | UT | |
121338500 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 165008-1205 (Utah) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 165008-1205 (Utah) | Primary |
Entity Name | University Of Utah Pediatric Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
Entity Name | University Of Utah Pediatric Acuity Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619325131 PECOS PAC ID: 6406148345 Enrollment ID: O20160713000869 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert G Bolte, MD 295 Chipeta Way, Peds Admin, Salt Lake City, UT 84108-1220 Ph: (801) 587-7400 | Dr Robert G Bolte, MD 100 N Medical Dr, Salt Lake City, UT 84113-1103 Ph: (801) 588-2233 |
Kristina Mckinley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital, 30 North 1900 East, Rm 1c412, Salt Lake City, UT 84132 Phone: 801-581-2401 | |
Dr. Zainab Kagen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Ste 14, Salt Lake City, UT 84108 Phone: 801-585-6943 | |
Kaitlin Carpenter, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 | |
Dr. Thomas Patrick Curtin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5700 | |
Anastasiya Mankouski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-7000 | |
Joslynn Marie Hoburg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Rm 2s010, Salt Lake City, UT 84108 Phone: 801-581-2121 | |
George W Delavan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-584-8239 Fax: 801-584-8588 |