Active NPI
Andy P Peiffer, M.D.
- Family Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1891908216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 274489-1205
- Practice address
- 633 G St
Salt Lake City, UT 84103-3244 - Phone
- (801) 521-2102
- Fax
- (801) 521-2830
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 274489-1205 | UT | Primary |
Addresses
Primary practice location
633 G St
Salt Lake City, UT 84103-3244
Mailing address
633 G. St.
Salt Lake City, UT 84103
Phone (801) 580-8855
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274489-1205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield County | Past | Accepting new patients | |
| U.S. Healthworks Medical Group of Utah, Inc. | Past | Accepting new patients | |
| Garfield County | Past | Accepting new patients | |
| Garfield County | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Clinic/Center
- Panguitch, UT
- NPI 1598200297
-
- Rural Health Clinic/Center
- Escalante, UT
- NPI 1619179751
-
- Rural Health Clinic/Center
- Circleville, UT
- NPI 1649472796
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Seattle, WA
- NPI 1548240013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1891908216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 G. ST.",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84103",
"telephone_number": "801-580-8855",
"fax_number": "801-521-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 G ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841033244",
"telephone_number": "801-521-2102",
"fax_number": "801-521-2830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEIFFER",
"first_name": "ANDY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "274489-1205",
"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 Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.