Peter W Bossart


Address: 324 E 10th Ave, Suite 280, Salt Lake City, UT 84103-2875

Peter W Bossart (NPI# 1477647246, PAC ID# 2961417100) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).

Physician Overview

Nation Provider ID (NPI) 1477647246
PAC ID by PECOS 2961417100
Professional Enrollment ID I20060209000375
Full Name Peter W Bossart
Address 324 E 10th Ave
Suite 280
Salt Lake City
UT 84103-2875
Gender M
Credential MD
Medical School UMDNJ-NEW JERSEY MEDICAL SCHOOL
Graduation Year 1983
Primary Specialty COLORECTAL SURGERY (PROCTOLOGY)
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460006 LDS HOSPITAL
460003 SALT LAKE REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
324 E 10th Ave, Suite 280, Salt Lake City, UT 84103-2875

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 324 E 10TH AVE
SUITE 280
City SALT LAKE CITY
State UT
Zip 84103-2875

Physicians in the same location

Name Specialty Organization Address
Darcie Reasoner Gorman Gastroenterology Ihc Health Services Inc 324 E 10th Ave, Suite 100, Salt Lake City, UT 84103-2870
Natalie Ann Lanham Clinical Social Worker Ihc Health Services Inc 324 E 10th Ave, Suite 178, Salt Lake City, UT 84103-2885
Mark Ford Wilkinson General Surgery Ihc Health Services Inc 324 E 10th Ave, Suite 200, Salt Lake City, UT 84103-2869
Spencer K Hansen Psychiatry Ihc Health Services Inc 324 E 10th Ave, Suite 178, Salt Lake City, UT 84103-2885
Joshua Vijayanand Jabez Psychiatry Ihc Health Services Inc 324 E 10th Ave, Suite 178, Salt Lake City, UT 84103-2885
Mithu Chaudhury Psychiatry Ihc Health Services Inc 324 E 10th Ave, Suite 178, Salt Lake City, UT 84103-2885
Brent James Christensen General Surgery Ihc Health Services Inc 324 E 10th Ave, Suite 189, Salt Lake City, UT 84103-2862
Anne M Pendo Internal Medicine Ihc Health Services Inc 324 E 10th Ave, Suite 100, Salt Lake City, UT 84103-2870
Scott West Rallison Obstetrics/gynecology Ihc Health Services Inc 324 E 10th Ave, Suite 100, Salt Lake City, UT 84103-2870
Barry A Benowitz Endocrinology 324 E 10th Ave, Suite 250, Salt Lake City, UT 84103-2872
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Physicians in the same zip code

Name Specialty Organization Address
Ann Reauelle King Sleep Medicine Ihc Health Services Inc 440 D St, Suite 200, Salt Lake City, UT 84103-2827
Gayle White Nurse Practitioner Ihc Health Services Inc 440 D St, Salt Lake City, UT 84103-2827
Ali Ahmed Fazili Pulmonary Disease Ihc Health Services Inc 324 10th Ave, Y, Salt Lake City, UT 84103-2853
Amrapali Mahendra Shah Pulmonary Disease Ihc Health Services Inc 324 10th Ave, Y, Salt Lake City, UT 84103-2853
Andrew Robert Badke Internal Medicine Ihc Health Services Inc 324 10th Ave, Suite 163, Salt Lake City, UT 84103-2856
Kevin Charles Shilling Sleep Medicine Ihc Health Services Inc 324 10th Ave, Suite 163, Salt Lake City, UT 84103-2856
Gregg J Stephany Physician Assistant Ihc Health Services Inc 324 10th Ave, Suite 163, Salt Lake City, UT 84103-2856
Steven Courtney Lynch Urology Ihc Health Services Inc 324 E 10th Ave, Suite 189, Salt Lake City, UT 84103-2862
Matthew Thomas Bryan Internal Medicine Ihc Health Services Inc 324 E 10th Ave, Suite 189, Salt Lake City, UT 84103-2862
Nancy Meiyun-chiu Bivens Psychiatry Ihc Health Services Inc 324 E 10th Ave, Suite 189, Salt Lake City, UT 84103-2862
Find all physicians in zip 84103

Competitor

Search similar physicians

City SALT LAKE CITY
Zip Code 84103
Specialty COLORECTAL SURGERY (PROCTOLOGY)
City + Specialty SALT LAKE CITY + COLORECTAL SURGERY (PROCTOLOGY)

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Dataset Information

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.

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