Everett Mark Petersen, MD | |
9660 South 1300 East, Alta View Hospital, Sandy, UT 84094 | |
(801) 501-2600 | |
Not Available |
Full Name | Everett Mark Petersen |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 17 Years |
Location | 9660 South 1300 East, Sandy, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508061177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | TRN11004 (Florida) | Primary |
207L00000X | Anesthesiology | 370770-1205 (Utah) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Alta View Hospital | Sandy, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain West Anesthesia Llc | 9032018502 | 246 |
Entity Name | Mountain West Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558391763 PECOS PAC ID: 9032018502 Enrollment ID: O20040103000057 |
Mailing Address | Practice Location Address |
---|---|
Everett Mark Petersen, MD 3340 North Center St, #800, Lehi, UT 84043-7406 Ph: (801) 990-1911 | Everett Mark Petersen, MD 9660 South 1300 East, Alta View Hospital, Sandy, UT 84094 Ph: (801) 501-2600 |
Ralph Ernest Hannah, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9660 S 1300e, Sandy, UT 84094 Phone: 801-993-9582 Fax: 801-733-5618 | |
Mr. Clinton Lund Christensen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9660 South 1300 East, Alta View Hospital, Sandy, UT 84094 Phone: 801-501-2600 | |
Todd S Blood, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9660 South 1300 East, Alta View Hospital, Sandy, UT 84094 Phone: 801-501-2600 Fax: 801-733-5618 | |
Dr. Natalia Alexandrovna Piper, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10150 Centennial Pkwy, Ste. 230, Sandy, UT 84070 Phone: 425-284-1545 | |
James B Yee, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9660 South 1300 East, Alta View Hospital, Sandy, UT 84094 Phone: 801-501-2600 Fax: 801-733-5618 | |
David A Pearson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10011 S Centennial Pkwy, Suite 220, Sandy, UT 84070 Phone: 801-566-5350 Fax: 801-890-0706 | |
Jay Todd Nilson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10150 Centennial Pkwy Ste 230, Sandy, UT 84070 Phone: 800-594-5736 |