Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598919409 Individual Practitioner Male Practitioner

Dr. Marcus Kim Blackburn , MD

Pediatrics • Riverton, UT

Professional Overview & Biography Verified Profile Summary

Dr. Marcus Blackburn, MD is a registered healthcare professional specializing in Pediatrics in Riverton, UT. Practice services are available at 3723 W 12600 S STE 330 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3723 W 12600 S Ste 330

Riverton, UT 840657309

Telephone 8012854543
Fax 8012854540
Associated Practice Facility / Clinic
🏢 Ihc Health Services Inc Facility NPI 1518108166

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Riverton, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
17 Specialists

Practicing in Riverton, 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: 2026-06-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License UT 7148440-1205

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.

Secondary Practice Locations

100 Mario Capecchi Dr

Salt Lake City, UT 841128924

Phone: 8016625702

Practice Associates & Co-Workers

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

12 Associated Practitioners
Mekenna Bermingham , APRN

Nurse Practitioner

NPI 1073243531

Advanced Practice Registered Nurse

NPI 1083849723

Doctor of Medicine (M.D.)

NPI 1164533071

Doctor of Medicine (M.D.)

NPI 1255793824

Doctor of Medicine (M.D.)

NPI 1316920770

Doctor of Medicine (M.D.)

NPI 1346817525

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 08, 2026

Registered at 3723 W 12600 S STE 330, RIVERTON, UT 840657309 (Tel: 8012854543)

📍
Updated Business Mailing Address June 08, 2026

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128 (Tel: 8012854543)

NPI Profile Active November 06, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2008

Registered at 100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 841128924 (Tel: 8016625702)

📍
Updated Business Mailing Address November 06, 2008

Registered at 100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 841128924 (Tel: 8016625702)

👤
Provider Name / Credentials Updated November 06, 2008

Recorded as MARCUS BLACKBURN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2008

Pediatrics (License #7148440-1205 in UT)

🟢
Initial NPI Registration & Enumeration November 06, 2008

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: 1598919409
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2008
Last Update: June 08, 2026
Sole Proprietor: No

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Phone: 8012854543

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.