Active NPI
David A Pearson, MD
- Anesthesiology Physician
- Sandy, UT
National Provider Identifier
1265537195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 267417-1205
- Practice address
- 10011 S Centennial Pkwy
Suite 220
Sandy, UT 84070-4156 - Phone
- (801) 566-5350
- Fax
- (801) 890-0706
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 267417-1205 | UT | Primary |
Addresses
Primary practice location
10011 S Centennial Pkwy
Suite 220
Sandy, UT 84070-4156
Mailing address
1211 E 2700 S
Apt. 7
Salt Lake City, UT 84106-3142
Phone (385) 228-7047
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PRA06154 | Other | UT | MOLINA |
| 264723 | Other | UT | DESERET MUTUAL |
| 607111900 | Other | UT | US DEPT OF LABOR |
| 224510 | Other | UT | ALTIUS |
| 81624 | Other | UT | PEHP |
| 107004712102 | Other | UT | IHC |
| 45005 | Other | UT | HEALTHY U |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Anesthesia Inc. | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- West Valley City, UT
- NPI 1982616843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1265537195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 E 2700 S",
"address_2": "APT. 7",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841063142",
"telephone_number": "385-228-7047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10011 S CENTENNIAL PKWY",
"address_2": "SUITE 220",
"city": "SANDY",
"state": "UT",
"postal_code": "840704156",
"telephone_number": "801-566-5350",
"fax_number": "801-890-0706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "DAVID",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "UT",
"license": "267417-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PRA06154",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "264723",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "607111900",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "224510",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "81624",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC",
"identifier": "107004712102",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY U",
"identifier": "45005",
"state": "UT"
}
],
"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 Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.