DR. STEPHEN PETERS


Address: 1157 N 300 W, Provo, UT 84604-6124
Phone: 8013571200

DR. STEPHEN PETERS (NPI# 1093710188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093710188
Entity Type Individual
Full Name DR. STEPHEN PETERS
Credential PSYD
Practice Address 1157 N 300 W
Provo
UT 84604-6124
Mailing Address Po Box 27128
Salt Lake City
UT 84127-0128
Practice Telephone 8013571200
Mailing Telephone 8013571200
Enumeration Date 2005-06-16
Last Update Date 2013-12-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
001250 IA Allopathic & Osteopathic Physicians

Other Providers STEPHEN PETERS

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1447676259 Stephen G Peters Pharmacist 2306 Peacock Ln, Mountain Brk, AL 35223-1712 2014-03-17
1366727794 Stephen Edward Peters Counselor 820 5th Ave, Chambersburg, PA 17201-4219 2011-10-17
1487663084 Stephen Roy Peters Anesthesiology 1200 N Beaver St, Flagstaff, AZ 86001-3118 2006-08-05
1891724324 Stephen R Peters Pathology 30 Prospect Ave, Hackensack, NJ 07601-1914 2006-06-30
1861438178 Stephen R Peters Radiology 305 S State St, Aberdeen, SD 57401-4527 2006-06-22
1679545388 Stephen Robert Peters Internal Medicine 2 Medical Plaza Dr, Suite #175, Roseville, CA 95661-3043 2006-02-06
1598740656 Stephen Paul Peters Internal Medicine Medical Center Blvd, Winston Salem, NC 27157-0001 2005-12-13

Office Location

Street Address 1157 N 300 W
City PROVO
State UT
Zip Code 84604-6124

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699315572 Tyler Bills Physical Therapist 1157 N 300 W, Provo, UT 84604-6124 2020-01-08
1558917906 Shaylene Dye Specialist/Technologist 1157 N 300 W, Provo, UT 84604-6124 2019-08-12
1053801308 Monica Maria Alvarez Hinckley Physical Therapist 1157 N 300 W, Provo, UT 84604-6124 2018-05-12
1821592890 Clinton Sherrill Anderson Orthopaedic Surgery 1157 N 300 W, Provo, UT 84604-6124 2018-03-22
1487165932 Jesse Wren Ellis Social Worker 1157 N 300 W, Provo, UT 84604-6124 2017-10-23
1376066779 Lindsey Kyle Jones Physical Therapist 1157 N 300 W, Provo, UT 84604-6124 2017-07-18
1922528314 Julie Elizabeth Vancour Physical Therapist 1157 N 300 W, Provo, UT 84604-6124 2017-06-26
1467992560 Dane Smith Specialist/Technologist 1157 N 300 W, #201, Provo, UT 84604-6124 2017-03-08
1972986057 Steven Faux Nurse Practitioner 1157 N 300 W, Suite 303, Provo, UT 84604-6124 2015-07-07
1659626430 Nathan Karl Maeser Psychiatry & Neurology 1157 N 300 W, Suite 303, Provo, UT 84604-6124 2012-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346882107 Abigail Belle Hardy Student in an Organized Health Care Education/Training Program 1190 900 E, Provo, UT 84604 2019-10-14
1386106698 Sarah Roseman Hunt Nurse Practitioner 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 2019-04-04
1255813325 Hwigeum Jeong Specialist/Technologist Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 2018-09-05
1093203044 Snowcap Smile Studio LLC Dentist 2230 N. University Pkwy Ste 8b, Provo, UT 84604 2018-04-25
1407359078 Ihc Health Services Inc Clinic/Center 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 2018-03-09
1902308455 Afton Leuga Nurse Practitioner 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 2018-03-01
1851807333 Ihc Health Services Inc Family Medicine 380 W 1230 N, Ste 602, Provo, UT 84604 2017-12-20
1689180218 Ihc Health Services Inc Pediatrics 395 W Bulldog Blvd Ste 703, Provo, UT 84604 2017-12-19
1396254165 Nicolas Sorensen Massage Therapist 247 West 2230 North #201, Provo, UT 84604 2017-09-25
1437692241 Cirque Lodge Inc Substance Abuse Rehabilitation Facility 3114 E Ida's Road, Sundance, UT 84604 2016-11-28
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Taxonomy Information

Taxonomy Code 2084N0600X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Clinical Neurophysiology

Taxonomy Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285867275 Hansann & Associates Psychiatry & Neurology 1470 S 500 E, Kaysville, UT 84037-3033 2009-08-25
1871679787 Kevin Scott Mochizuki Psychiatry & Neurology 428 S Douglas St Apt 1, Salt Lake City, UT 84102 2006-10-31
1619965944 Navin K Varma Psychiatry & Neurology 1452 E Ridgeline Dr #151, Ogden, UT 84405-4975 2005-10-11
1285279091 Blue Creek Medical Psychiatry & Neurology 9825 N 10800 W, Tremonton, UT 84337-9222 2019-11-15
1508098906 Timber Ridge Holdings LLC Psychiatry & Neurology 448 E 5350 S Ste B, Washington Terrace, UT 84405-5415 2009-08-18
1891802591 Tawnya M. Constantino Psychiatry & Neurology 5171 Cottonwood St, Suite 810, Murray, UT 84107-5704 2006-08-25

Competitor

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City PROVO
Zip Code 84604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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