PETER V SUNDWALL JR. (NPI# 1558470641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558470641 |
| Entity Type | Individual |
| Full Name | PETER V SUNDWALL JR. |
| Credential | M.D. |
| Practice Address |
155 W Canyon Crest Rd Suite 200 Alpine UT 84004-1819 |
| Practice Telephone | 8017639851 |
| Practice Fax Number | 8017639852 |
| Mailing Telephone | 8017639851 |
| Mailing Fax Number | 8017639852 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 3393791205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | D1942 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003306473 | Peter Michael Sundwall | Student in an Organized Health Care Education/Training Program | 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814-2527 | 2018-05-11 |
| Street Address |
155 W CANYON CREST RD SUITE 200 |
| City | ALPINE |
| State | UT |
| Zip Code | 84004-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629699749 | Physician Management Services of Utah, LLC | Family Medicine | 155 W Canyon Crest Rd, Alpine, UT 84004-1819 | 2020-04-29 |
| 1467997015 | Isaac Halliday | Physical Therapist | 155 W Canyon Crest Rd, Suite 100, Alpine, UT 84004-1819 | 2017-01-05 |
| 1649604638 | Heather Leishman | Physician Assistant | 155 W Canyon Crest Rd, Suite 200, Alpine, UT 84004-1819 | 2013-08-26 |
| 1427207836 | Alpine Family Medicine LLC | Family Medicine | 155 W Canyon Crest Rd, Suite 200, Alpine, UT 84004-1819 | 2008-09-10 |
| 1417066564 | Daniel W Egan | Family Medicine | 155 W Canyon Crest Rd, Suite 200, Alpine, UT 84004-1819 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003148404 | Virgil Jon Parker | Internal Medicine | 646 W 600 N, Alpine, UT 84004 | 2010-02-10 |
| 1245302751 | Garon E Larsen | Dentist | 70 West Canyon Crest Road, Alpine, UT 84004 | 2006-11-14 |
| 1093801151 | Mitchell D Albrecht | Anesthesiology | 1034 N 500 W, Provo, UT 84004 | 2006-10-05 |
| 1790187847 | Stephanie Gross | Acupuncturist | 1034 Moyle Dr, Alpine, UT 84004-1206 | 2014-09-19 |
| 1639341829 | Michael D Rosvall | Dentist | 578 Grove Cir, Alpine, UT 84004-1210 | 2008-03-27 |
| 1669794806 | Vernon C. Utley | Social Worker | 646 N 610 E, Alpine, UT 84004-1220 | 2010-02-15 |
| 1568792760 | David Lawrence Scott | Pediatrics | 424 Aspen Ridge Ln, Alpine, UT 84004-1223 | 2010-01-11 |
| 1700403995 | Amber Astle | Physician Assistant | 782 Canterbury Ln, Alpine, UT 84004-1255 | 2020-07-03 |
| 1528452125 | James H Cloyd, Phd, LLC | Psychologist | 758 Canterbury Ln, Alpine, UT 84004-1255 | 2015-03-23 |
| 1407405384 | Felicity Kaden Mills | Behavior Technician | 587 Hillside Dr, Alpine, UT 84004-1355 | 2019-09-04 |
| Find all providers in zip 84004 | ||||
| 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 |
|---|---|---|---|---|
| 1225463565 | Big Bend Family Practice | Family Medicine | 803 N 5th St, Alpine, TX 79830 | 2013-09-05 |
| 1225391410 | Arthi Chawla | Family Medicine | Southern Indian Health Council 4058 Willows Road, Po Box 2128, Alpine, CA 91901 | 2012-06-21 |
| 1801937107 | Edwin Humberto Cabrera | Family Medicine | 2615 Tompau Pl, Alpine, CA 91901-2893 | 2007-02-09 |
| 1932218047 | James M Ricketts | Family Medicine | 1347 Tavern Rd, Ste 9, Alpine, CA 91901-3853 | 2006-08-30 |
| 1073587671 | Jason D Silva | Family Medicine | 1620 Alpine Blvd Ste 119, Alpine, CA 91901-1104 | 2006-02-13 |
| 1023095858 | Matthew Joseph Gaspar | Family Medicine | 251 Hancock Cemetery Ln, Alpine, TN 38543-6461 | 2005-12-22 |
| 1629699749 | Physician Management Services of Utah, LLC | Family Medicine | 155 W Canyon Crest Rd, Alpine, UT 84004-1819 | 2020-04-29 |
| 1750818274 | Gavva Ranadhir Ram Reddy | Family Medicine | 4058 Willows Rd, Alpine, CA 91901-1668 | 2017-05-15 |
| 1174919971 | Peter Murray Baum | Family Medicine | 4058 Willows Rd, Alpine, CA 91901 | 2015-04-09 |
| 1356761571 | Kenneth Kaleoaloha Ortiz | Family Medicine | 4058 Willows Rd, Alpine, CA 91901-1668 | 2014-04-27 |
| Find all providers in ALPINE | ||||
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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.