KATHRYN ANNE PETERSON


Address: 50 N Medical Dr, Salt Lake City, UT 84132-0001
Phone: 8015817802

KATHRYN ANNE PETERSON (NPI# 1225128846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225128846
Entity Type Individual
Full Name KATHRYN ANNE PETERSON
Credential MD
Practice Address 50 N Medical Dr
Salt Lake City
UT 84132-0001
Mailing Address Po Box 413033
Salt Lake City
UT 84141-3033
Practice Telephone 8015817802
Mailing Telephone 8012386615
Enumeration Date 2006-10-13
Last Update Date 2012-08-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
349647-1205 UT Allopathic & Osteopathic Physicians

Other Providers KATHRYN PETERSON

NPI Name Taxonomy Address Enumeration
1942608914 Kathryn Peterson Registered Nurse 105 Winter St Apt 2, Brattleboro, VT 05301 2014-12-08
1558417071 Kathryn Louise Peterson Massage Therapist 401 Olympia Ave Ne, Suite 213, Renton, WA 98056-4117 2007-01-26
1851493340 Kathryn Schulz Peterson Occupational Therapist 1122 Sw 5th St, Boca Raton, FL 33486-4518 2006-09-04
1003856634 Kathryn Louise Peterson Social Worker 115 E Birch Ave, Flagstaff, AZ 86001-4609 2006-06-08
1821504895 Kathryn Amanda Peterson Occupational Therapy Assistant 2332 Liberty Dr, Coralville, IA 52241-2771 2017-12-28
1659815371 Kathryn Peterson Behavior Technician 2120 Sw Jefferson St, B200, Portland, OR 97201-7727 2016-12-14
1598039422 Kathryn Marie Peterson Behavioral Analyst 2005 Dana Ln, Papillion, NE 68133-2339 2012-02-23
1487852406 Kathryn M. Peterson Counselor 2680 Vernon Dr, Green Bay, WI 54304-5374 2007-07-11
1770626855 Kathryn Patricia Peterson Pediatrics 3333 Burnet Ave, Ml 7009, Cincinnati, OH 45229-3026 2007-02-15

Office Location

Street Address 50 N MEDICAL DR
City SALT LAKE CITY
State UT
Zip Code 84132-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477555696 Yaw Ababio Boateng Internal Medicine 50 N Medical Dr, Salt Lake City, UT 84132-0100 2005-06-01
1073114864 Stephanie Bevill Registered Nurse 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-11-06
1609477801 Justin Larson Physical Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-11-04
1366042467 Kirsty Aleah Vannoy Occupational Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-10-28
1629675673 Erica Kueneman Nurse Practitioner 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-10-02
1487266680 Michelle A Barker Physical Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-08-19
1770195943 Lisa M Schaeffer Nurse Practitioner 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-08-19
1194336289 Michelle Rios Physical Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-08-12
1932710027 Tanner Ladsten Physical Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-08-12
1578174660 Rachel Sette Occupational Therapist 50 N Medical Dr, Salt Lake City, UT 84132-0001 2020-08-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275162331 Scott Andrew Rizzi Student in an Organized Health Care Education/Training Program 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 2020-04-02
1609421403 Monika Fleckenstein Ophthalmology 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 2019-08-08
1366975914 Jacob Brandenburg Anesthesiology School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 2017-04-10
1568815082 Anastasia Neufeld Ophthalmology 65 Mario Capecchi Drive, Salt Lake City, UT 84132 2016-07-20
1912350083 Gmaan Alzhrani Student in an Organized Health Care Education/Training Program 175 N. Medical Drive East
, Salt Lake City, UT 84132 2016-07-13
1831544600 Drew Goerke Occupational Therapist 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 2016-04-29
1891179024 Bong Jik Kim Student in an Organized Health Care Education/Training Program 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 2015-07-17
1043699101 Chris Anderson Physician Assistant 30 North 1900 East #3c344, Salt Lake City, UT 84132 2015-05-22
1689061822 Ryan Clark Thoracic Surgery (Cardiothoracic Vascular Surgery) 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 2015-04-24
1649666264 Kevin Conrad Anesthesiology 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 2015-04-09
Find all providers in zip 84132

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568592590 Ihc Health Services Inc Internal Medicine 374 10th Ave, Suite 100, Salt Lake City, UT 84103-2823 2007-03-07
1306925433 Robert F Miller Internal Medicine 1002 East South Temple, Ste 412, Salt Lake City, UT 84102 2006-11-02
1033209622 Randall W. Burt Internal Medicine Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, UT 84112 2006-10-13
1871689562 Utah Gastroenterology P C Internal Medicine 1187 E 3900 S, Salt Lake City, UT 84124-1201 2006-10-04
1972510717 Utah Gastroenterology P C Internal Medicine 6360 South 3000 East, Suite 310, Salt Lake City, UT 84121 2006-08-02
1184655128 Mae Foung Go Internal Medicine 500 Foothill Blvd # 111g, Va Slc Health Care System, Salt Lake City, UT 84148-0001 2006-07-06
1982145181 Benjamin Hewitt Internal Medicine 30 N 1900 E Rm 4r118, Salt Lake City, UT 84132-0002 2017-03-20
1154784783 Andrew Khoi Nguyen Internal Medicine 30 N 1900 E Rm 4r118, Salt Lake City, UT 84132-0002 2016-03-31
1245634047 University of Utah Adult Services Internal Medicine 50 N Medical Dr, Salt Lake City, UT 84132-0001 2014-10-22
1972921658 Malan Tara Shiralkar Internal Medicine 50 N Medical Dr, Salt Lake City, UT 84132-7232 2014-03-31
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Competitor

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City SALT LAKE CITY
Zip Code 84132

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Dataset Information

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.

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