DR. PETER CORLESS ANDERSON (NPI# 1043444516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043444516 |
| Entity Type | Individual |
| Full Name | DR. PETER CORLESS ANDERSON |
| Credential | M.D. |
| Practice Address |
3584 W 9000 S Ste. 311 West Jordan UT 84088-5710 |
| Practice Telephone | 8015668304 |
| Mailing Telephone | 8015668304 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2015-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 5366856-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | STATE MEDICAL LICENSE | 5366856-1205 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720367964 | Peter Holt Anderson | Marriage & Family Therapist | 6 Hampden St, Gloucester, MA 01930-3618 | 2011-08-05 |
| 1689827677 | Peter David Anderson | Pharmacist | 816 Willard St, Apt. 207, Quincy, MA 02169-7496 | 2008-11-04 |
| 1144337916 | Peter William Anderson | Chiropractor | 2720 Commercial St Se Ste 201, Salem, OR 97302-4586 | 2006-08-25 |
| 1558373407 | Peter Knox Anderson | Optometrist | 71 Crabtree Dr, Levittown, PA 19055-1617 | 2006-08-12 |
| 1811941198 | Peter G Anderson | Emergency Medicine | 17100 Euclid, Fountain Valley, CA 92708 | 2006-05-20 |
| 1396715231 | Peter Lloyd Anderson | Specialist | 1 Old Park Lane, Suite 2, New Milford, CT 06776 | 2006-01-24 |
| 1821076480 | Peter G Anderson | Dentist | 1083 E Maple Rd, Birmingham, MI 48009-6424 | 2006-01-04 |
| 1548245848 | Peter J Anderson | Orthopaedic Surgery | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2005-12-08 |
| 1891249132 | Peter Anderson | Social Worker | 328 Main St, Southbridge, MA 01550-3794 | 2016-08-03 |
| 1417335118 | Peter Anderson Jr. | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2015-05-13 |
| Street Address |
3584 W 9000 S STE. 311 |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84088-5710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854821 | Harrison M Lazarus | Surgery | 3584 W 9000 S, Ste 400, West Jordan, UT 84088-5710 | 2005-07-09 |
| 1912494345 | Nathan L. Boyer | Nurse Practitioner | 3584 W 9000 S, West Jordan, UT 84088-5710 | 2018-04-20 |
| 1194262022 | Matthew Allred | Nurse Practitioner | 3584 W 9000 S, Suite 405, West Jordan, UT 84088-5710 | 2017-01-30 |
| 1366803736 | Bryce Dee Allred Md A PC | Clinic/Center | 3584 W 9000 S, Suite 400, West Jordan, UT 84088-5710 | 2016-03-14 |
| 1689042673 | Ariel Lynn Fry | Dietitian, Registered | 3584 W 9000 S, Suite 304, West Jordan, UT 84088-5710 | 2015-09-08 |
| 1598146888 | Larsen Anesthesia PC | Anesthesiology | 3584 W 9000 S, West Jordan, UT 84088-5710 | 2015-06-12 |
| 1649662560 | Ryan Fowers | Specialist/Technologist | 3584 W 9000 S, West Jordan, UT 84088-5710 | 2015-03-02 |
| 1255746350 | Le Pediatrics Inc | Clinic/Center | 3584 W 9000 S, Suite 305, West Jordan, UT 84088-5710 | 2014-06-26 |
| 1609292044 | Weekend Vasectomy Clinic LLC | Specialist | 3584 W 9000 S, Suite 401, West Jordan, UT 84088-5710 | 2014-03-10 |
| 1902239478 | Adam Alex Nelson | Physician Assistant | 3584 W 9000 S, Suite 311, West Jordan, UT 84088-5710 | 2013-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
| 1659861847 | Miller Anesthesia Consultants PC | Anesthesiology | Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 | 2018-05-14 |
| 1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
| 1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
| 1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
| 1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
| 1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
| 1528328846 | Orthodontic Payment Services, LLC | Dentist | 1231 W 9000 S #d, West Jordan, UT 84088 | 2012-05-21 |
| 1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
| 1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
| Find all providers in zip 84088 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508197955 | Jeffrey J. Nelson M.d., P.C. | Otolaryngology | 3584 W 9000 S, Suite 311, West Jordan, UT 84088-5710 | 2010-01-25 |
| 1497981021 | Ryan Gilbert, M.d., P.C. | Otolaryngology | 3584 W 9000 S, Suite 311, West Jordan, UT 84088-5710 | 2009-06-10 |
| 1497930234 | Ryan Max Gilbert | Otolaryngology | 3584 W 9000 S, Suite 311, West Jordan, UT 84088-5710 | 2007-12-28 |
| 1649460163 | Ryan W Leonard | Otolaryngology | 3181 W 9000 S, West Jordan, UT 84088-5610 | 2007-07-31 |
| 1508926551 | South Valley Ear Nose and Throat Associates, Pllc | Otolaryngology | 3584 W. 9000 S., Suite 311, West Jordan, UT 84088-4775 | 2006-12-11 |
| 1760498026 | Garner B Meads Jr. | Otolaryngology | 3584 W 9000 S, Ste 311, West Jordan, UT 84088-4775 | 2006-07-31 |
| 1316978687 | Brian R Peterson | Otolaryngology | 3584 W 9000 S, Suite 311, West Jordan, UT 84088-5710 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073177796 | Christopher A. Hamilton | Otolaryngology | 50 North Medical Dr Som 3c120, Salt Lake City, UT 84132-0001 | 2019-04-29 |
| 1972007433 | Eric Edward Babajanian | Otolaryngology | 50 N Medical Dr Som 3c120, Salt Lake City, UT 84132-0001 | 2018-03-20 |
| 1619362779 | Joshua Brian Bradshaw | Otolaryngology | 1551 Renaissance Towne Dr Ste 310, Bountiful, UT 84010-7671 | 2015-04-05 |
| 1548695729 | Derrick Cripps Gale | Otolaryngology | 4063 W 12600 S, Riverton, UT 84096-7302 | 2013-09-06 |
| 1063853885 | Craig N Stevens, Md | Otolaryngology | 2576 E Valley View Ave, Holladay, UT 84117-5429 | 2013-07-09 |
| 1801233994 | Tolbin Matthew Collett | Otolaryngology | 201 W Layton Pkwy, Layton, UT 84041 | 2013-05-29 |
| 1700143906 | Daniel Robert Cox | Otolaryngology | 5169 S Cottonwood St Ste 310, Murray, UT 84107 | 2012-04-12 |
| 1447551544 | James L. Parkin | Otolaryngology | 2390 Bernadine Dr, Salt Lake City, UT 84109-1206 | 2010-11-05 |
| 1447584636 | Ryan D. Lewis | Otolaryngology | 11506 S State St, Draper, UT 84020-9453 | 2009-09-22 |
| 1710210323 | Kendrick Oliver Morrison | Otolaryngology | 1599 Quartz Dr, South Jordan, UT 84095-8382 | 2009-09-14 |
| Find all providers with the same taxonomy | ||||
| City | WEST JORDAN |
| Zip Code | 84088 |
Please comment or provide details below to improve the information on DR. PETER CORLESS ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.