CHASE B PETERSEN (NPI# 1407144702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407144702 |
| Entity Type | Individual |
| Full Name | CHASE B PETERSEN |
| Credential | M.D. |
| Practice Address |
1400 N 500 E Logan UT 84341 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 4357161920 |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2019-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 9346037-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Uw Hospital and Clinics, 600 Highland Ave, H4/831, Madison, WI 537920001 | 6082631228 |
| Street Address |
1400 N 500 E |
| City | LOGAN |
| State | UT |
| Zip Code | 84341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540955 | Mark D Anderson | Radiology | 1400 N 500 E, Logan, UT 84341-2455 | 2005-06-28 |
| 1790306884 | Kevin Willis Hall | Physical Medicine & Rehabilitation | 1400 N 500 E, Logan, UT 84341-2455 | 2020-04-30 |
| 1265094742 | Jacob Sanderson | Emergency Medicine | 1400 N 500 E, Logan, UT 84341-2455 | 2019-07-03 |
| 1497317523 | Adele Perry Rosenauer | Speech-Language Pathologist | 1400 N 500 E, Logan, UT 84341-2455 | 2019-06-28 |
| 1174086581 | Ridgeview Pathology LLC | Pathology | 1400 N 500 E, Logan, UT 84341-2455 | 2019-04-11 |
| 1639659543 | Angelee Hancey | Dietitian, Registered | 1400 N 500 E, Logan, UT 84341-2455 | 2018-08-20 |
| 1144736372 | Ihc Health Services Inc | Radiology | 1400 N 500 E, Logan, UT 84341-2455 | 2017-12-26 |
| 1992231534 | Laycee Mozingo | Dietitian, Registered | 1400 N 500 E, Logan, UT 84341-2455 | 2017-05-02 |
| 1568996072 | Cache Valley Pathology, LLC | Pathology | 1400 N 500 E, Logan, UT 84341-2455 | 2017-04-12 |
| 1255873352 | Karen Tibbitts Filimoehala | Speech-Language Pathologist | 1400 N 500 E, 1st Floor, Logan, UT 84341-2455 | 2016-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013242916 | Francis Neal Mortenson | Obstetrics & Gynecology | 1141 Fox Farm Rd, Logan, UT 84321-4807 | 2009-10-09 |
| 1104005297 | Emmanuel O. Soyoola Md PC | Obstetrics & Gynecology | 70 Hospital Dr, Kruger Medical Plaza, Suite 200, Logan, WV 25601-3452 | 2007-10-25 |
| 1922217850 | Cache Valley Womens Center, Pllc | Obstetrics & Gynecology | 1325 North 600 E, #102, Logan, UT 84341 | 2007-05-21 |
| 1982748737 | Ihc Health Services Inc | Obstetrics & Gynecology | 550 E 1400 N Ste X, Logan, UT 84341-2782 | 2007-02-16 |
| 1881650026 | Pimpa Suttiratana | Obstetrics & Gynecology | Hc68 Box 1000 Suite 3, Community Health Foundation of Logan, Logan, WV 25601-9620 | 2006-04-25 |
| 1861476921 | Tandy Garth Olsen | Obstetrics & Gynecology | 500 E 1400 North, Logan, UT 84341 | 2005-12-02 |
| 1558351742 | Barry A Noorda | Obstetrics & Gynecology | 1325 N 600 E, 102, Logan, UT 84341-2684 | 2005-10-27 |
| 1285624478 | David A Kirkman | Obstetrics & Gynecology | 1325 No 600e, #102, Logan, UT 84341 | 2005-10-27 |
| 1932355468 | Erica Lynn Smith | Obstetrics & Gynecology | 1400 N 500 E, Logan, UT 84341-2455 | 2008-08-15 |
| 1639207939 | Ihc Health Services Inc | Obstetrics & Gynecology | 1400 N 500 E, Logan, UT 84341-2455 | 2007-03-01 |
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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.