Peter V Wilson, MD, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PETER V WILSON, MD, PLLC

Practice address

1580 W Antelope Dr
Suite 130
Layton, UT 84041-1160

Phone

(801) 728-9555

Fax

(801) 728-9556

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Peter V Wilson, MD

Title

Physician

Phone

(801) 728-9555

Specialties & licenses 1

Addresses

Other names 1

• Davis Surgical Associates Doing business as

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1700932639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95970",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950970",
            "telephone_number": "801-352-9500",
            "fax_number": "801-352-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 W ANTELOPE DR",
            "address_2": "SUITE 130",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411160",
            "telephone_number": "801-728-9555",
            "fax_number": "801-728-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER V WILSON, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "801-728-9555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaiden Perkins
• Taylor Mary Permenter, PT, DPT
• Sheila Gay Perry, CSW
• Stephanie Perry
• Gayla Pesnell, RN
• Darrick Peters, DO
• Clark E Petersen, M.D.
• Julie Petersen
• Morrissa Lynn Petersen, RBT
• Nikita Petersen, LCSW

• Surgery Physician in Layton, UT
• Providers in Layton, UT by specialty
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.