LEE M PETERSON (NPI# 1316987613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316987613 |
| Entity Type | Individual |
| Full Name | LEE M PETERSON |
| Credential | MD |
| Practice Address |
3550 N University Ave Suite 250 Provo UT 84604 |
| Practice Telephone | 8013749625 |
| Practice Fax Number | 8013749690 |
| Mailing Telephone | 8013749625 |
| Mailing Fax Number | 8013749690 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 1766331205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 870516264009 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700368941 | Lee Mumford Peterson | Social Worker | 14 Old Farm Rd, Dedham, MA 02026-4115 | 2018-09-04 |
| 1972870160 | Lee Ann Peterson | Pharmacist | 619 Dixon Ave, Missoula, MT 59801-8623 | 2011-11-16 |
| 1497962054 | Lee Francis Peterson | Dentist | 987 N Irwin St, Hanford, CA 93230-3817 | 2007-05-16 |
| Street Address |
3550 N UNIVERSITY AVE SUITE 250 |
| City | PROVO |
| State | UT |
| Zip Code | 84604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851347090 | Craig S Cook | Surgery | 3550 N University Ave, Ste 250, Provo, UT 84604 | 2006-05-26 |
| 1336697473 | Rachel Oswald Freeman | Nurse Practitioner | 3550 N University Ave, #250, Provo, UT 84604-6683 | 2016-09-19 |
| 1851521249 | David L Peterson | Physician Assistant | 3550 N University Ave, Ste 250, Provo, UT 84604-6683 | 2009-07-20 |
| 1083869101 | Christy Anderson | Nurse Practitioner | 3550 N University Ave, Ste 250, Provo, UT 84604-6683 | 2008-11-18 |
| 1841470879 | Cindy Evans | Nurse Practitioner | 3550 N University Ave, Sutie #250, Provo, UT 84604-6683 | 2007-11-07 |
| 1205024122 | David Wesley Brock | Physician Assistant | 3550 N University Ave, Suite 250, Provo, UT 84604-6683 | 2007-10-04 |
| 1700932068 | David Michael Watts | Surgery | 3550 N University Ave, Suite 250, Provo, UT 84604-6683 | 2007-01-26 |
| 1568497634 | Jennifer J Tittensor | Surgery | 3550 N University Ave, Ste 250, Provo, UT 84604 | 2006-07-11 |
| 1215977517 | Richard M Thomas | Surgery | 3550 N University Ave, Suite #250, Provo, UT 84604 | 2006-06-07 |
| 1699715664 | Bruce B Hill | Surgery | 3550 N University Ave, Suite 250, Provo, UT 84604 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164528717 | Brian Gill | Surgery | 3550 N. University Ave. #250, Provo, UT 84604 | 2006-09-14 |
| 1851347090 | Craig S Cook | Surgery | 3550 N University Ave, Ste 250, Provo, UT 84604 | 2006-05-26 |
| 1770767964 | Craig W Morrison | Surgery | 1750 N Wymount Terrace Dr, Provo, UT 84601-4800 | 2007-12-24 |
| 1700932068 | David Michael Watts | Surgery | 3550 N University Ave, Suite 250, Provo, UT 84604-6683 | 2007-01-26 |
| 1669521571 | Karl M Francis Jr. | Surgery | 3550 N University Ave Ste 250, Provo, UT 84604-6685 | 2007-01-09 |
| 1457420853 | Mark Allen Fullmer | Surgery | 1055 N 300 W, Suite 418, Provo, UT 84604-3344 | 2006-11-07 |
| 1568497634 | Jennifer J Tittensor | Surgery | 3550 N University Ave, Ste 250, Provo, UT 84604 | 2006-07-11 |
| 1215977517 | Richard M Thomas | Surgery | 3550 N University Ave, Suite #250, Provo, UT 84604 | 2006-06-07 |
| 1528008588 | R Richard Rasmussen | Surgery | 1055 N 300 W, Ste 302, Provo, UT 84604-3344 | 2006-06-07 |
| 1699715664 | Bruce B Hill | Surgery | 3550 N University Ave, Suite 250, Provo, UT 84604 | 2006-06-07 |
| Find all providers in PROVO | ||||
Please comment or provide details below to improve the information on LEE M PETERSON.
| 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.