Mr Joshua C Peterson, DO | |
5121 S Cottonwood Street, Murray, UT 84107-5701 | |
(801) 507-7000 | |
(770) 701-6675 |
Full Name | Mr Joshua C Peterson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 9 Years |
Location | 5121 S Cottonwood Street, Murray, 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 |
---|---|---|---|
1104203959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 9408556 (Kansas) | Secondary |
207L00000X | Anesthesiology | 5827853-1204 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Intermountain Medical Center | Murray, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain West Anesthesia Llc | 9032018502 | 246 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Entity Name | Mountain West Anesthesia Llc |
---|---|
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 |
---|---|
Mr Joshua C Peterson, DO Po Box 3570, Salt Lake City, UT 84110-3570 Ph: (801) 727-2056 | Mr Joshua C Peterson, DO 5121 S Cottonwood Street, Murray, UT 84107-5701 Ph: (801) 507-7000 |
Kendell Ryan Klingler, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 778 E Briarmeadow Ave, Murray, UT 84107 Phone: 208-390-7555 | |
Ethan K Fisher, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 Phone: 801-507-5248 Fax: 801-733-5618 | |
Jason Hafer, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-455-8221 | |
Dr. Jayaprakash Moodalagiriappa, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 Phone: 801-507-5248 Fax: 801-432-2668 | |
Dr. Daniel Larsen Jacobs, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5801 S Fashion Blvd Ste 195, Murray, UT 84107 Phone: 801-829-7246 Fax: 801-655-9615 | |
Dr. Michael Marshall Beck, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 Fax: 770-701-6675 |