DR. RYAN PAUL PETERSON (NPI# 1346237393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346237393 |
| Entity Type | Individual |
| Full Name | DR. RYAN PAUL PETERSON |
| Credential | DO |
| Practice Address |
1553 W 9000 S West Jordan UT 84088-9219 |
| Mailing Address |
2685 S Rainbow Blvd Suite 112 Las Vegas NV 89146-5182 |
| Practice Telephone | 8015630300 |
| Practice Fax Number | 8015654690 |
| Mailing Telephone | 8015630300 |
| Mailing Fax Number | 8015654690 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2007-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5683991-1204 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 5290622002001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619354008 | Ryan Peterson | Hearing Instrument Specialist | 822 Mainstreet, Hopkins, MN 55343-7627 | 2015-05-05 |
| 1912213497 | Ryan Peterson | Counselor | 179 Morrison Ave, Somerville, MA 02144-2017 | 2010-08-23 |
| 1669613816 | Ryan Curtis Peterson | Anesthesiology | 3209 Hillock Dr, Los Angeles, CA 90068-1427 | 2009-03-18 |
| 1245486307 | Ryan Thomas Peterson | Podiatrist | 676 S Bluff St Ste 205, St George, UT 84770-3568 | 2008-08-08 |
| 1902864614 | Ryan Kent Peterson | Optometrist | 4401 E Sunset Rd, Suite 4, Henderson, NV 89014-0274 | 2006-05-02 |
| 1952908600 | Ryan Peterson | Pharmacist | 50 W Techne Center Dr Ste J, Milford, OH 45150-9798 | 2020-10-06 |
| 1124650395 | Ryan Peterson | Counselor | 3802a Grand Ave S, Minneapolis, MN 55409-1233 | 2020-02-06 |
| 1912434432 | Ryan Dean Peterson | Family Medicine | 4318 Trail Boss Dr Ste 100, Castle Rock, CO 80104-7512 | 2017-05-15 |
| 1841676764 | Ryan Peterson | Dentist | 18340 Governors Hwy, Homewood, IL 60430-2910 | 2015-08-03 |
| 1992188486 | Ryan Peterson | Behavioral Analyst | 5800 S Highland Dr, Salt Lake City, UT 84121-1359 | 2015-07-02 |
| Street Address |
1553 W 9000 S |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84088-9219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639479678 | Ryan Dean Swensen | Pharmacist | 1553 W 9000 S, West Jordan, UT 84088-9219 | 2010-10-25 |
| 1679525109 | Shopko Stores Operating Co. LLC | Optometrist | 1553 W 9000 S, West Jordan, UT 84088-9219 | 2006-05-16 |
| 1194776005 | Jason Edward Holmes | Optometrist | 1553 W 9000 S, West Jordan, UT 84088-9219 | 2006-05-15 |
| 1669423737 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1553 W 9000 S, West Jordan, UT 84088-9219 | 2006-05-13 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689210551 | Evergreen Clinic LLC | Family Medicine | 1561 W 7000 S Ste 100, West Jordan, UT 84084-3556 | 2019-11-25 |
| 1528203817 | West Jordan Family Medicine, LLC | Family Medicine | 6783 S Redwood Rd Ste 103, West Jordan, UT 84084-5685 | 2008-12-16 |
| 1417125139 | Shadow Mountain Family Physicians | Family Medicine | 7800 South 3855 West, 100, West Jordan, UT 84088 | 2008-02-15 |
| 1962606657 | Jordan Landing Family Medicine LLC | Family Medicine | 3895 W 7800 S Suite 100, West Jordan, UT 84088-1966 | 2007-06-14 |
| 1336227206 | Jackie Anne Fonua | Family Medicine | 3354 W 7800 S, West Jordan, UT 84088-4506 | 2006-11-01 |
| 1235158304 | Brenten C Pugh, Md | Family Medicine | 3895 W 7800 S Ste 100, West Jordan, UT 84088-5616 | 2006-07-19 |
| 1174555320 | James S Coy | Family Medicine | 2751 W 9000 S, West Jordan, UT 84088 | 2006-07-07 |
| 1386675627 | Randall R Fillmore | Family Medicine | 2751 W 9000 South, West Jordan, UT 84088 | 2006-07-05 |
| 1568405397 | Dennis R Hamp | Family Medicine | 3895 W 7800 S, Suite, 100, West Jordan, UT 84088-5617 | 2006-06-13 |
| 1275576027 | Judith L Kirstein | Family Medicine | 8846 S Redwood Rd, Ste E121, West Jordan, UT 84088-9334 | 2006-06-13 |
| Find all providers in WEST JORDAN | ||||
| City | WEST JORDAN |
| Zip Code | 84088 |
Please comment or provide details below to improve the information on DR. RYAN PAUL 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.