Gayle Peltz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01059777A Issued in IN

Practice address

4021 S 700 E Ste 300
Salt Lake City, UT 84107-2184

Phone

(800) 643-6822

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295957108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CHESTNUT ST",
            "address_2": "2ND FL.",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701704",
            "telephone_number": "201-842-0883",
            "fax_number": "201-842-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 S 700 E STE 300",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072184",
            "telephone_number": "800-643-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTZ",
        "first_name": "GAYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01059777A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Jared Pellatt, MD
• Kaitlyn Hayes Pelletier, APRN
• Katelyn Peloza, MD
• Christopher Earl Pelt, M.D.
• Julie Marie Pelton
• Claire Pemberton
• Jenacia Pemberton
• Celia Anais Pena Heredia, MD
• Issac Pena-Renteria, PA-C
• Mialia Juanita Pena

• Family Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, 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 Jul 8, 2007; 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.