Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063946325 Individual Practitioner Female Practitioner

Dr. Jordan Gaudio , MD

Pediatrics • Provo, UT

Professional Overview & Biography Verified Profile Summary

Dr. Jordan Gaudio, MD is a registered healthcare professional specializing in Pediatrics in Provo, UT. Practice services are available at 1034 N 500 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1034 N 500 W

Provo, UT 846043380

Telephone 8013571700
Associated Practice Facility / Clinic
🏢 Ihc Health Services, Inc Facility NPI 1235189002

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
24 Specialists

Practicing in Provo, UT (688 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-01
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License UT 13384855-1205

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Pediatric Critical Care Medicine

NUCC Taxonomy Code: 2080P0203X

State License UT 13384855-1205

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Secondary Practice Locations

111 Michigan Ave Nw

Washington, DC 200102916

Phone: 2024763670

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Benjamin Hammond , MD

Pediatrics - Pediatric Cardiology

NPI 1184043325

Doctor of Medicine (M.D.)

Dr. Jon Woods , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1982675088

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2025

Pediatrics (License #13384855-1205 in UT)

📍
Updated Practice Location February 08, 2024

Registered at 1034 N 500 W, PROVO, UT 846043380 (Tel: 8013571700)

📍
Updated Business Mailing Address February 08, 2024

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2023

Pediatrics (License #MD048368 in DC)

👤
Provider Name / Credentials Updated April 18, 2023

Recorded as JORDAN GAUDIO, MD

NPI Profile Active April 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2017

Registered at 111 MICHIGAN AVE NW, WASHINGTON, DC 200102916 (Tel: 2024763670)

📍
Updated Business Mailing Address April 13, 2017

Registered at 111 MICHIGAN AVE NW, WASHINGTON, DC 200102916 (Tel: 2024763670)

👤
Provider Name / Credentials Updated April 13, 2017

Recorded as JORDAN DERCK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 13, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063946325
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2017
Last Update: December 01, 2025
Sole Proprietor: No

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.