Provider Demographics
NPI:1194863589
Name:FAMILIES FIRST PEDIATRICS LLC
Entity Type:Organization
Organization Name:FAMILIES FIRST PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:N
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-254-9700
Mailing Address - Street 1:PO BOX 95868
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-0868
Mailing Address - Country:US
Mailing Address - Phone:801-254-9700
Mailing Address - Fax:801-254-9755
Practice Address - Street 1:1320 W SOUTH JORDAN PKWY STE 201
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-8847
Practice Address - Country:US
Practice Address - Phone:012-549-7008
Practice Address - Fax:801-254-9755
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILIES FIRST PEDIATRICS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT41482080A0000X
2080A0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty