UTAH HEAD AND NECK SURGERY (NPI# 1093024689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093024689 |
| Entity Type | Organization |
| Organization Name | UTAH HEAD AND NECK SURGERY |
| Practice Address |
945 W Hospital Dr Ste 1 Price UT 84501-4230 |
| Practice Telephone | 4356374327 |
| Practice Fax Number | 4356139709 |
| Mailing Telephone | 4356374327 |
| Mailing Fax Number | 4356139709 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |
| Authorized Official Name | DR. BARRY JOHN PETERSON (PHYSICIAN) |
| Authorized Official Telephone | 4356374327 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
O-0522 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
945 W HOSPITAL DR STE 1 |
| City | PRICE |
| State | UT |
| Zip Code | 84501-4230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467687830 | Ryan Hanson Au.d., P.C. | Audiologist | 945 W Hospital Dr Ste 1, Price, UT 84501-4230 | 2009-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300079 | Kayleigh Maxfield | Case Manager/Care Coordinator | 77 S. 600 E., Price, UT 84501 | 2020-03-06 |
| 1174160071 | Kelli Fowles | Pharmacist | Smith's Food & Drug, 1075 E Main St, Price, UT 84501 | 2019-12-10 |
| 1225683733 | Zachary Kreek | Registered Nurse | 77 South 600 East Suite C, Price, UT 84501 | 2019-08-02 |
| 1578036547 | Boni Lee Taylor | Counselor | 445 North Carbonville Road, Price, UT 84501 | 2019-01-02 |
| 1023591310 | Center for Independent Living, Inc | Durable Medical Equipment & Medical Supplies | 2490 Mariner Square Loop, Suite 210, Alameda, CA 84501 | 2018-09-12 |
| 1023500360 | Dkmcomber Clinical Services | Nurse Practitioner | 590 E 100 N Ste 7, Price, UT 84501 | 2018-06-02 |
| 1326569245 | Castleview Physician Practice, LLC | Internal Medicine | 317 East 100 North, Price, UT 84501 | 2017-06-30 |
| 1255783874 | Cacilia Jensen | Case Manager/Care Coordinator | 105 W. 100 N., Price, UT 84501 | 2016-07-07 |
| 1801133905 | Joseph Micah Woodard | Counselor | 575 E. 100 S., Price, UT 84501 | 2013-01-09 |
| 1447513221 | Eugene Douglas Larsen Jr. | Internal Medicine | 280 N Hospital Dr Ste 4, Price, UT 84501 | 2012-06-18 |
| Find all providers in zip 84501 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467751008 | Amir Allak | Otolaryngology | 3584 W 9000 S Ste 311, West Jordan, UT 84088-4775 | 2011-03-22 |
| 1932367976 | Lucy Barr Md PC Dba Barr Aesthetics | Otolaryngology | 24 South 1100 East Ste 102, Salt Lake City, UT 84102 | 2008-05-27 |
| 1487198321 | Utah Plastic Surgery LLC | Otolaryngology | 2255 N 1700 W, #205, Layton, UT 84041-1119 | 2016-12-12 |
| 1114378023 | Ward Md LLC | Otolaryngology | 6322 S 3000 E, Suite 170, Salt Lake City, UT 84121-6922 | 2016-06-22 |
| 1194119685 | University of Utah Dental Services | Otolaryngology | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2015-03-24 |
| 1932307188 | Lucy Jane Barr | Otolaryngology | 82 S 1100 E, Suite 200, Salt Lake City, UT 84102-1686 | 2007-07-10 |
| 1265522874 | Steven Ross Mobley | Otolaryngology | 5292 S College Dr, Suite 303, Murray, UT 84123-2958 | 2006-10-13 |
| 1881702355 | Kent Eric Gardner | Otolaryngology | 1490 E Foremaster Dr, Suite 350, St George, UT 84790-4488 | 2006-08-26 |
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| 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.