Utah Head and Neck Surgery

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

O-0522 Issued in UT

Legal business name

UTAH HEAD AND NECK SURGERY

Practice address

945 W Hospital Dr Ste 1
Price, UT 84501-4230

Phone

(435) 637-4327

Fax

(435) 613-9709

NPI assigned

Sep 29, 2010

Last updated

Sep 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Barry John Peterson, DONPI 1447456272

Title

Physician

Phone

(435) 637-4327

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barry John Peterson, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Rexburg, ID
  • NPI 1447456272
  NPD (past) Authorized official

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1093024689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 W HOSPITAL DR STE 1",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014230",
            "telephone_number": "435-637-4327",
            "fax_number": "435-613-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 W HOSPITAL DR STE 1",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014230",
            "telephone_number": "435-637-4327",
            "fax_number": "435-613-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH HEAD AND NECK SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "435-637-4327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "UT",
            "license": "O-0522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Turner, R.N.
• TX-Carbon Emergency Services LLC
• Cheryl-Lynn Isabella Uivaa
• Megan Urbanik
• Tina Urbanik
• Marcos D Valdez, MD
• Lawrence C Van Atta, CRNA
• Lance K Vanburen, ASSOCIATE IN SCIENCE
• Shelby Vaught
• Morgan Lee Verdi

• Facial Plastic Surgery Physician in Price, UT
• Providers in Price, UT by specialty
• Facial Plastic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.