NPIMap

Organization Active NPI

Lone Peak Anesthesia LC

  • Anesthesiology Physician
  • Sandy, UT
National Provider Identifier
1083622641
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
LONE PEAK ANESTHESIA LC
Practice address
150 W Civic Center Dr
Suite 200
Sandy, UT 84070-4230
Phone
(801) 432-2677
Fax
(678) 285-6777
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
J. Todd Nilson, MD
Title
President
Phone
(800) 594-5736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

150 W Civic Center Dr
Suite 200
Sandy, UT 84070-4230

Mailing address

PO Box 3810
Salt Lake City, UT 84110-3810
Phone (800) 594-5736

National Provider Directory

National Provider Directory

Locations

1954 E Fort Union Blvd
Ste 114
Salt Lake Cty, UT 84121
Phone (800) 594-5736

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1083622641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841103810",
            "telephone_number": "800-594-5736",
            "fax_number": "678-285-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W CIVIC CENTER DR",
            "address_2": "SUITE 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704230",
            "telephone_number": "801-432-2677",
            "fax_number": "678-285-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE PEAK ANESTHESIA LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "NILSON",
        "authorized_official_first_name": "J. TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-594-5736",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.