NPIMap

Organization Active NPI

Utah Center for Reproductive Medicine

  • Reproductive Endocrinology Physician
  • Salt Lake City, UT
National Provider Identifier
1164724860
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
UTAH CENTER FOR REPRODUCTIVE MEDICINE
Practice address
675 Arapeen Dr
205
Salt Lake City, UT 84108-1223
Phone
(801) 581-2121
NPI assigned
Dec 1, 2010
Last updated
Dec 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Charles Matthew Peterson, MD
Title
Department Chair
Phone
(801) 581-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X NU Primary

Addresses

Primary practice location

675 Arapeen Dr
205
Salt Lake City, UT 84108-1223

Mailing address

PO Box 410475
Salt Lake City, UT 84141-3475
Phone (801) 213-3800

National Provider Directory

National Provider Directory

Locations

675 S Arapeen Dr
Ste 205
Salt Lake City, UT 84108
Phone (801) 581-3834

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1164724860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410475",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841413475",
            "telephone_number": "801-213-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 ARAPEEN DR",
            "address_2": "205",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081223",
            "telephone_number": "801-581-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH CENTER FOR REPRODUCTIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "DEPARTMENT CHAIR",
        "authorized_official_telephone_number": "801-581-2121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.