J. DAYNE PETERSEN M.D., PC (NPI# 1346597507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346597507 |
| Entity Type | Organization |
| Organization Name | J. DAYNE PETERSEN M.D., PC |
| Other Organization Name | NUVISTA PLASTIC SURGERY |
| Practice Address |
5353 S 960 E #150 Salt Lake City UT 84117-3569 |
| Practice Telephone | 8012615791 |
| Practice Fax Number | 8017477740 |
| Mailing Telephone | 8012615791 |
| Mailing Fax Number | 8017477740 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-30 |
| Authorized Official Name | DR. JASON DAYNE PETERSEN (PRESIDENT) |
| Authorized Official Telephone | 8019718684 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
83185641205 | UT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| NuVista Plastic Surgery | Doing Business As Name - Organization |
| Street Address |
5353 S 960 E #150 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84117-3569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619245529 | Kyungsun Jeong Kim | Pharmacist | 5353 S 960 E, #103, Salt Lake City, UT 84117-3569 | 2011-12-06 |
| 1689957763 | Jessica Blanchard | Pharmacist | 5353 S 960 E, Salt Lake City, UT 84117-3569 | 2011-09-24 |
| 1053693705 | Eric Mckeon | Pharmacist | 5353 S 960 E, Salt Lake City, UT 84117-3569 | 2011-09-19 |
| 1215105804 | Jason Dayne Petersen | Plastic Surgery | 5353 S 960 E, #150, Salt Lake City, UT 84117-3569 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
| 1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
| 1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
| 1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
| 1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
| 1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
| 1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
| Find all providers in zip 84117 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720593866 | Ling Auduong | Clinic/Center | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2017-12-12 |
| 1376887927 | Eric C Chenworth D O P C | Clinic/Center | 24 S 1100 E, Suite 201, Salt Lake City, UT 84102-1500 | 2012-11-20 |
| 1407149818 | Ameer Internal & Sleep Medicine Consultants | Clinic/Center | 515 E 4500 S, G220, Salt Lake City, UT 84107-4500 | 2011-05-18 |
| 1265684419 | Michael D. Smithers, D.c., P.C. | Clinic/Center | 7084 S 2300 E, Suite #110, Salt Lake City, UT 84121-3968 | 2008-10-21 |
| 1912182494 | Bradd K Christensen M.d.,p.c. | Clinic/Center | 1377 E 3900 S, Ste 104, Salt Lake City, UT 84124-1476 | 2008-01-03 |
| 1598967937 | University Health Care | Clinic/Center | 30 N 1900 E, 3r210, Salt Lake City, UT 84132-2305 | 2007-06-05 |
| 1427265420 | University of Utah Health Care | Clinic/Center | 30 N 1900 E, Salt Lake City, UT 84132-2305 | 2007-05-17 |
| 1164568101 | University of Utah Redwood Center | Clinic/Center | 1525 W 2100 S, Salt Lake City, UT 84119-1401 | 2007-01-29 |
| 1487764411 | Intermountain Ear,nose, and Throat Specialists LLC | Clinic/Center | 22 S 900 E, Salt Lake City, UT 84102-1307 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417596339 | Adams Chiropractic Inc. | Clinic/Center | 3336 S Pioneer Pkwy Ste 202, West Valley City, UT 84120-2080 | 2019-12-23 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1497316905 | The West Clinic Draper | Clinic/Center | 12371 S 900 E, Draper, UT 84020-9833 | 2019-06-25 |
| 1235691510 | Desert Bloom Plastic Surgery LLC | Clinic/Center | 446 S Mall Dr Ste 1, St George, UT 84790-4944 | 2019-04-04 |
| 1568952190 | Bear River Valley Medical LLC | Clinic/Center | 9825 N 10800 W, Tremonton, UT 84337-9222 | 2018-05-18 |
| 1376944942 | Legacy Dermatology | Clinic/Center | 320 W 500 S, Suite 210, Bountiful, UT 84010-7218 | 2014-09-14 |
| 1821417684 | James E Wellman Md | Clinic/Center | 5998 Spring Canyon Rd, Ogden, UT 84403-5476 | 2014-04-09 |
| 1255769386 | Slc Diagnostic Imaging | Clinic/Center | 6202 W Freedom Hill Way, Herriman, UT 84096-6987 | 2013-10-29 |
| 1013269406 | Cnm | Clinic/Center | 4749 S Holladay Blvd, Holladay, UT 84117-5420 | 2012-10-09 |
| 1023381241 | Clifford G Harman | Clinic/Center | 12091 Lampton View Dr, Riverton, UT 84065-7834 | 2012-02-18 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84117 |
Please comment or provide details below to improve the information on J. DAYNE PETERSEN M.D., PC.
| 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.