Individual provider Active NPI

Andy P Peiffer, M.D.

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1891908216
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
274489-1205 Issued in UT
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

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
274489-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garfield County Past Accepting new patients
U.S. Healthworks Medical Group of Utah, Inc. PastSince Jun 10, 2000 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.

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.

Verify at the official NPI Registry.