Sean D Peterson (NPI# 1497142582, PAC ID# 1951609544) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1497142582 |
| PAC ID by PECOS | 1951609544 |
| Professional Enrollment ID | I20180601002320 |
| Full Name | Sean D Peterson |
| Organization Legal Name | FOOTHILL CLINIC, LLC |
| Address |
13953 S Bangerter Pkwy Draper UT 84020-5429 |
| Phone Number | 3859004090 |
| Gender | M |
| Medical School | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9931003795 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13953 S Bangerter Pkwy, Draper, UT 84020-5429 | 3859004090 | FOOTHILL CLINIC, LLC |
| Organization Legal Name | FOOTHILL CLINIC, LLC |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Wilkinson | Family Medicine | Foothill Clinic, LLC | 13953 S Bangerter Pkwy, Draper, UT 84020-5429 |
| Benjamin A Thomas | Podiatry | Foothill Clinic, LLC | 6360 S 3000 E, Suite 100, Salt Lake City, UT 84121-6924 |
| Wesley J Lewis | Family Medicine | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Heather Jackson | Family Medicine | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| James P Longe | General Practice | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Diana Grazulis | Family Medicine | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Jacqueline L Rohrer | Family Medicine | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Jose Azarcon Jr. | Family Medicine | Foothill Clinic, LLC | 13953 S Bangerter Pkwy, Draper, UT 84020-5429 |
| James T Peterson | Family Medicine | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Bryan L Nelson | Internal Medicine | Foothill Clinic, LLC | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 |
| Street Address |
13953 S BANGERTER PKWY |
| City | DRAPER |
| State | UT |
| Zip | 84020-5429 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Wilkinson | Family Medicine | Foothill Clinic, LLC | 13953 S Bangerter Pkwy, Draper, UT 84020-5429 |
| Jose Azarcon Jr. | Family Medicine | Foothill Clinic, LLC | 13953 S Bangerter Pkwy, Draper, UT 84020-5429 |
| Holly Anderson | Family Medicine | Foothill Clinic, LLC | 13953 S Bangerter Pkwy, Draper, UT 84020-5429 |
| Lorna Baer | Nurse Practitioner | Utah Gastroenterology PC | 13953 S Bangerter Pkwy, Draper, UT 84020-5429 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Christensen | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Matthew Broadwater-hollifield | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Azher M Merchant | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jeffrey L Hardin | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Laurie C Raborn | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jinghui Li | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Charles David Eller | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jeremy Voros | Emergency Medicine | Emergency Physicians Integrated Care LLC | 11800 S State St, Lone Peak Emergency Center, Draper, UT 84020-0001 |
| Jennifer F Robison | Psychologist, Clinical | 12481 S Fort St, Suite 275, Draper, UT 84020-2106 | |
| Matthew D Smith | Chiropractic | Elite Performance Health Center PC | 13552 S 110 W, Suite 204, Draper, UT 84020-2403 |
| Find all physicians in zip 84020 | |||
| City | DRAPER |
| Zip Code | 84020 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DRAPER + FAMILY MEDICINE |
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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.