Jason Dayne Petersen (NPI# 1215105804, PAC ID# 1456428838) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
Nation Provider ID (NPI) | 1215105804 |
PAC ID by PECOS | 1456428838 |
Professional Enrollment ID | I20121119000308 |
Full Name | Jason Dayne Petersen |
Organization Legal Name | J DAYNE PETERSEN MD PC |
Address |
5353 S 960 Salt Lake City UT 84117-3533 |
Phone Number | 8012615791 |
Gender | M |
Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
Graduation Year | 2003 |
Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
Group Practice PAC ID | 8921259060 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
5353 S 960, Salt Lake City, UT 84117-3533 | 8012615791 | J DAYNE PETERSEN MD PC |
5353 S 960, Suite 150, Salt Lake City, UT 84117-3533 | 8012615791 | J DAYNE PETERSEN MD PC |
Organization Legal Name | J DAYNE PETERSEN MD PC |
Physicians | 1 |
Street Address |
5353 S 960 |
City | SALT LAKE CITY |
State | UT |
Zip | 84117-3533 |
Name | Specialty | Organization | Address |
---|---|---|---|
David A Mehregan | Pathology | Utah Pathology Service Inc | 5330 S 900 E, Suite 120, Salt Lake City, UT 84117-3504 |
Julie A Jackson | Pathology | Utah Pathology Service Inc | 5330 S 900 E, Suite 120, Salt Lake City, UT 84117-3504 |
Isaac E Lloyd | Pathology | Utah Pathology Service Inc | 5330 S 900 E, Suite 120, Salt Lake City, UT 84117-3504 |
Ralph W Gant | Clinical Psychologist | 5525 S 900 E Plaza II, Suite 102, Murray, UT 84117-3505 | |
Scott Asay | Chiropractic | Apollo Health Centers | 5525 S 900, Suite 310, Murray, UT 84117-3516 |
Timothy P Young | Family Medicine | Apollo Health Centers | 5525 S 900, Suite 310, Murray, UT 84117-3516 |
Travis Castillon | Chiropractic | Apollo Health Centers | 5525 S 900, Suite 310, Murray, UT 84117-3516 |
Summer Rae Kottsick | Nurse Practitioner | Ihc Health Services Inc | 2160 E 4500, Holladay Pedia N, Salt Lake City, UT 84117-4011 |
Andrea Loving | Nurse Practitioner | 2180 E 4500, Suite 105, Holladay, UT 84117-4017 | |
Marette Monson | Clinical Social Worker | 2180 E 4500, Suite 105, Holladay, UT 84117-4017 | |
Find all physicians in zip 84117 |
City | SALT LAKE CITY |
Zip Code | 84117 |
Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
City + Specialty | SALT LAKE CITY + PLASTIC AND RECONSTRUCTIVE SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.