Peter V Sundwall MD Pca

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1498871205 Issued in UT

Legal business name

PETER V SUNDWALL MD PCA

Practice address

4815 Center St
Murray, UT 84107-4814

Phone

(801) 262-2443

Fax

(801) 262-8869

NPI assigned

Dec 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter V Sundwall, MD PCA

Title

Owner

Phone

(801) 262-2443

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelli Jan Fife, MMS; PA-C

  • Physician Assistant
  • Murray, UT
  • NPI 1699004341
  NPD (past)
• Mark Dale Johnson, MD

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1184668659
  NPD (past)
• Gay J Meyers, PA C

  • Physician Assistant
  • Murray, UT
  • NPI 1215099155
  NPD (past)
• James S Wood, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Murray, UT
  • NPI 1144212580
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1053594861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 CENTER ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074814",
            "telephone_number": "801-262-2443",
            "fax_number": "801-262-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 CENTER ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074814",
            "telephone_number": "801-262-2443",
            "fax_number": "801-262-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER V SUNDWALL MD PCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "SUNDWALL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-262-2443",
        "authorized_official_credential": "MD PCA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "1498871205",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "1498878905",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528447834000",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Perri
• Lucas Randall Perry
• Jon Leroy Pertab, PH.D.
• Kase Perterson
• Peter G. Larcom MD PC
• Laura Palmer Peters, RN
• Joy Ellen Petersen, APRN
• Roger Kay Petersen, PT
• Russell S Petersen, MD
• Ryanna Petersen

• Family Medicine Physician in Murray, UT
• Providers in Murray, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.