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Physician Profile

Jared W. Henricksen, MD

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At a glance

About Dr. Henricksen

Based in Salt Lake City, UT, Jared W. Henricksen, MD is listed in the NPI registry under pediatric medicine. Jared graduated from Medical College of Wisconsin in 2002. Jared is also listed as specializing in pediatric critical care medicine. NPI 1396762480 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

Specialty

Pediatric Medicine (Primary)

Credentials & Licensing

UT licenceAs reported to the NPI registry
No. 347933-1205As reported
NPINational Provider Identifier
1396762480Issued 2006

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Dr. Henricksen specialize in?

Dr. Henricksen is a pediatric medicine in Salt Lake City, UT. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Dr. Henricksen located?

Dr. Henricksen is listed at 100 Mario Capecchi Dr, Salt Lake City, UT 84113. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Henricksen's phone number?

The number on file is (801) 662-1000. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Dr. Henricksen's NPI number?

Dr. Henricksen's National Provider Identifier is 1396762480. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Dr. Henricksen go to medical school?

Dr. Henricksen attended Medical College of Wisconsin, graduating in 2002. This comes from the CMS National Downloadable File.

CMS public data

How long has Dr. Henricksen been practicing?

Dr. Henricksen has 24 years experience. Calculated from a graduation year of 2002, reported in the CMS National Downloadable File.

CMS public data

Has Dr. Henricksen confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Henricksen. If this is you, claiming it is free.

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