DR. HALLORAN PETERSON (NPI# 1801241328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801241328 |
| Entity Type | Individual |
| Full Name | DR. HALLORAN PETERSON |
| Credential | MD |
| Practice Address |
1950 Circle of Hope Dr Rm 1570 Salt Lake City UT 84112-5500 |
| Practice Telephone | 8015818781 |
| Mailing Telephone | (801) 581-8781 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1430 Tulane Ave, Sl-50, New Orleans, LA 701122632 | 5049887809 | 5049883971 |
| Street Address |
1950 CIRCLE OF HOPE DR RM 1570 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84112-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902888126 | Matthew M Poppe | Family Medicine | 1950 Circle of Hope Dr Rm 1570, Dept. Radiation Oncology, Salt Lake City, UT 84112-5500 | 2005-11-15 |
| 1679035505 | Calvin B. Rock | Radiology | 1950 Circle of Hope Dr Rm 1570, Salt Lake City, UT 84112-5500 | 2019-04-01 |
| 1104386580 | Jordan B. Fenlon | Radiology | 1950 Circle of Hope Dr Rm 1570, Salt Lake City, UT 84112-5500 | 2019-03-22 |
| 1104323013 | Timothy Paul Griffith | Radiology | 1950 Circle of Hope Dr Rm 1570, Salt Lake City, UT 84112-5500 | 2018-04-07 |
| 1699271668 | Christopher Weil | Radiology | 1950 Circle of Hope Dr Rm 1570, Salt Lake City, UT 84112 | 2018-03-30 |
| 1447754395 | Ryan Joseph Hutten | Radiology | 1950 Circle of Hope Dr Rm 1570, Salt Lake City, UT 84112-5500 | 2018-03-23 |
| 1205369287 | Christopher Dave Hellekson | Radiology | 1950 Circle of Hope Dr Rm 1570, Salt Lake City, UT 84112-5500 | 2017-04-06 |
| 1427581560 | Matthew Willis Parsons | Radiology | 1950 Circle of Hope Dr Rm 1570, Salt Lake City, UT 84112-5500 | 2017-04-05 |
| 1528509767 | Ryan Douglas Kraus | Radiology | 1950 Circle of Hope Dr Rm 1570, Salt Lake City, UT 84112-5500 | 2017-03-20 |
| 1609223932 | Christopher Barnett Baker Jr. | Radiology | 1950 Circle of Hope Dr Rm 1570, Salt Lake City, UT 84112-5500 | 2016-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
| 1235792839 | Dylan Lamb | Rehabilitation Practitioner | 1850 S. 260 E, Salt Lake City, UT 84112 | 2019-04-18 |
| 1740787407 | David Bradley Patch | Student in an Organized Health Care Education/Training Program | University of Utah Hospital Dental Clinic #7, 50 N. Medical Dr., Salt Lake City, UT 84112 | 2018-04-10 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1316493117 | Dana Friske | Specialist/Technologist | 290 S 1850 E, Room 103, Salt Lake City, UT 84112 | 2016-08-31 |
| 1548612435 | Frances Millett Johnson | Nurse Practitioner | 555 South Foothill Blvd, Suite 301, Salt Lake City, UT 84112 | 2016-07-05 |
| 1679920904 | Jason Lippman | Family Medicine | 555 S. Foothill Blvd., Ste. 301, Salt Lake City, UT 84112 | 2016-05-17 |
| 1447604335 | Joseph Mcbeth | Specialist/Technologist | 580 S. Guardsman Way, Salt Lake City, UT 84112 | 2016-04-18 |
| 1104213636 | Cameron Critchfield | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, Suite 5900, Salt Lake City, UT 84112 | 2015-04-22 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| Find all providers in zip 84112 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205829 | Brittany Nicole Beverly | Student in an Organized Health Care Education/Training Program | 236 N Sun Arbor Ter Apt 2111, Salt Lake City, UT 84116-4537 | 2020-11-06 |
| 1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
| 1669090502 | Kelly Maree Gutpell | Student in an Organized Health Care Education/Training Program | 81 N Mario Capecchi Dr Ste 1a.011, Salt Lake City, UT 84113-1125 | 2020-07-07 |
| 1134744014 | Scarlet Reyes | Student in an Organized Health Care Education/Training Program | 25 S 1100 E Apt 14, Salt Lake City, UT 84102-1514 | 2020-06-16 |
| 1215553151 | Andrew Winn Bringhurst | Student in an Organized Health Care Education/Training Program | 1737 E Imperial Park Sq, Salt Lake City, UT 84106-5104 | 2020-06-16 |
| 1134744287 | Jillian G Barker | Student in an Organized Health Care Education/Training Program | 1345 S 400 E, Salt Lake City, UT 84115-1548 | 2020-06-15 |
| 1114542255 | Gustavo Carrillo | Student in an Organized Health Care Education/Training Program | 1652 W 800 S, Salt Lake City, UT 84104-3112 | 2020-06-15 |
| 1982229035 | Cristhian V. Toruno | Student in an Organized Health Care Education/Training Program | 448 N 1100 W, Salt Lake City, UT 84116-2649 | 2020-06-15 |
| 1144845108 | Huong T Pham | Student in an Organized Health Care Education/Training Program | 319 E Beldon Pl, Salt Lake City, UT 84111-3516 | 2020-06-15 |
| 1790300754 | Krista Huffaker | Student in an Organized Health Care Education/Training Program | 1212 E 500 S # 2, Salt Lake City, UT 84102-3223 | 2020-06-15 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84112 |
Please comment or provide details below to improve the information on DR. HALLORAN PETERSON.
| 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.