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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
001250 | IA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
1157 N 300 W |
City | PROVO |
State | UT |
Zip Code | 84604-6124 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 84604 |
Taxonomy Code | 2084N0600X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Clinical Neurophysiology |
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] |
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 |
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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.