PEAK ENT ASSOCIATES NPI 1346489036

NPI Information

  • NPI: 1346489036
  • Provider Name: PEAK ENT ASSOCIATES
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Organization
  • :
  • CLIA Number: 46D2064223
  • Address: 1055 N 300 W
    SUITE 401
    PROVO, UT
    ZIP 84604
  • Phone: (801) 357-7499

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NPI Details

PEAK ENT ASSOCIATES is an otolaryngology/facial plastic surgery otolaryngology in Provo, UT. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. PEAK ENT ASSOCIATES NPI is 1346489036. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1055 N 300 W
SUITE 401
PROVO, UT
ZIP 84604-344
Phone: (801) 357-7499
Fax: (801) 373-5980

The provider's authorized official is Tim Prusse .
The authorized official title is Administrator and has the following contact phone number (801) 357-7499.

The CLIA number assigned to this NPI record is 46D2064223 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2009 and was last updated on 9/2/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1231H00000XAudiologistNo
2363L00000XNurse PractitionerNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207Y00000XOtolaryngologyNo
5207YX0602XOtolaryngologyOtolaryngic AllergyNo
6207YX0901XOtolaryngologyOtology & NeurotologyNo
7207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryYes

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: 11/21/2025

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