Individual provider Active NPI

William Noel Peugh, M.D., D.PHIL

  • Surgery Physician
  • American Fork, UT
National Provider Identifier
1730147711
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
51150451205 Issued in UT
Practice address
1159 E 200 N
Suite 350
American Fork, UT 84003-2022
Phone
(801) 772-1975
Fax
(801) 756-5091
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 51150451205 UT Primary

Addresses

Primary practice location

1159 E 200 N
Suite 350
American Fork, UT 84003-2022

Mailing address

1159 E 200 N
Suite 350
American Fork, UT 84003-2022
Phone (801) 772-1975

Other identifiers 9

IdentifierTypeStateIssuer
227213OtherUTDMBA
51150451200001OtherUTREGENCE BLUE CROSS BLUE S
QM0000058146OtherUTALTIUS
8067944OtherIDIDAHO MEDICAID
107011409102OtherUTINTERMOUNTAIN HEALTHCARE
47235OtherUTPEHP
043651337PE1OtherUTEDUCATORS MUTUAL
107011409101OtherUTUNITED HEALTH CARE
51150451200001OtherUTREGENCE BLUE CROSS FEDERA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418001297 UT Practitioner - General Surgery 6305884610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (435) 743-5555

Hospital & facility affiliations

  • American Fork Hospital Hospital, American Fork, UT, CCN 460023
  • Park City Hospital Hospital, Park City, UT, CCN 460057

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51150451205UTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Oct 1, 2008 Accepting new patients
Ihc Health Services, Inc. CurrentSince Oct 1, 2008 Accepting new patients
Utah Advanced Laparoscopy Inc. PastSince Apr 18, 2005 Accepting new patients
Armour, Christensen, Simon, Chartered Surgery Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

1159 E 200 N
Ste 350
American Fork, UT 84003
Phone (801) 756-4781

98 N 1100 E
Ste 202
American Fork, UT 84003
Phone (801) 492-2510

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

3930 W Parkway Blvd
West Valley City, UT 84120
Phone (435) 462-2441

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1730147711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 E 200 N",
            "address_2": "SUITE 350",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032022",
            "telephone_number": "801-772-1975",
            "fax_number": "801-756-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 E 200 N",
            "address_2": "SUITE 350",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032022",
            "telephone_number": "801-772-1975",
            "fax_number": "801-756-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEUGH",
        "first_name": "WILLIAM",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "M.D., D.PHIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "51150451205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "227213",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS BLUE S",
            "identifier": "51150451200001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM0000058146",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO MEDICAID",
            "identifier": "8067944",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERMOUNTAIN HEALTHCARE",
            "identifier": "107011409102",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "47235",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATORS MUTUAL",
            "identifier": "043651337PE1",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "107011409101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS FEDERA",
            "identifier": "51150451200001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.