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WALLACE CURTIS PETERSON MD NPI 1164539987


NPI Information

NPI: 1164539987
Provider Name: WALLACE CURTIS PETERSON, MD
Classification: Anesthesiology - 207L00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113
Phone: (801) 993-9551
Get Directions

Wallace Curtis Peterson, MD is an anesthesiology in Salt Lake City, UT. The provider is an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. Wallace Curtis Peterson, MD NPI is 1164539987. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 993-9551
Fax: (801) 733-5872

The NPI 1164539987 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiology168281-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12000040OTHERUTAHUNITED HEALTHCARE
2P00259795MEDICARE ID-TYPE UNSPECIFIEDUTAHRAILROAD MEDICARE
324409OTHERUTAHPEHP
42330OTHERUTAHHEALTHY U
5416944OTHERUTAHDESERET MUTUAL
6107006366101OTHERUTAHIHC
7E27982MEDICARE UPINUTAH
8401765MEDICAIDMONTANA
9QM0000049533OTHERUTAHALTIUS
10870280408PE2OTHERUTAHEDUCATORS MUTUAL
11710287MEDICAIDARIZONA
12PR00612OTHERUTAHMOLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.