DR. DAVID PETRON


Address: 590 S Wakara Way, Salt Lake City, UT 84108-1200
Phone: 8015877109

DR. DAVID PETRON (NPI# 1881775062) 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) 1881775062
Entity Type Individual
Full Name DR. DAVID PETRON
Credential MD
Practice Address 590 S Wakara Way
Salt Lake City
UT 84108-1200
Mailing Address Po Box 413067
Salt Lake City
UT 84141-3067
Practice Telephone 8015877109
Mailing Telephone 8015813998
Enumeration Date 2006-10-17
Last Update Date 2013-12-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 183156-1205 UT Allopathic & Osteopathic Physicians
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
183156-1205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 590 S WAKARA WAY
City SALT LAKE CITY
State UT
Zip Code 84108-1200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174524862 Kimberly M Ross Occupational Therapist 590 S Wakara Way, Salt Lake City, UT 84108-1200 2005-08-03
1558988717 Logan James Couce Physical Therapist 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-07-02
1457976581 Abigail Bigham Physical Therapist 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-06-15
1073141768 Matthew Jiajing Siebert Student in an Organized Health Care Education/Training Program 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-03-30
1326676370 Joshua Paul Rainey Student in an Organized Health Care Education/Training Program 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-03-27
1407483886 Olivia Grothaus Student in an Organized Health Care Education/Training Program 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-03-25
1316574775 Eleanor Hope Sato Student in an Organized Health Care Education/Training Program 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-03-25
1922632959 Alexander John Reese Pharmacist 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-02-28
1679110548 Byron C Miller Physical Therapist 590 S Wakara Way, Salt Lake City, UT 84108-1200 2019-12-10
1851933501 Gabrielle Lecheminant Grimmer Physician Assistant 590 S Wakara Way, Salt Lake City, UT 84108-1200 2019-10-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548753056 Maxine Ht Erickson Assistant Behavior Analyst 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 2018-06-08
1841704061 Robyn Carver Occupational Therapist 421 Wakara Wat, Salt Lake City, UT 84108 2017-11-27
1518478742 Lcr Dental Sugar House Dentist 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 2017-10-16
1447708912 Aubrianne Squire Evans Occupational Therapist 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 2016-09-14
1629524426 Ryan Weisenbeck Specialist/Technologist 580 S Guardsman Way, Salt Lake City, UT 84108 2016-08-31
1164885547 Michael Fazzone Student in an Organized Health Care Education/Training Program 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 2016-04-01
1669833489 Bryon Claflin Registered Nurse 650 S Komas Ste 200, Salt Lake City, UT 84108 2016-03-08
1801283833 Autism Assement Treatment Program Adult Psychologist 650 S Komas, Suite 200, Salt Lake City, UT 84108 2015-04-16
1578993275 Matthew and David Dental Pllc Dentist 1355 Foothill Drive, Salt Lake City, UT 84108 2013-11-15
1841631520 Deepika Garg Internal Medicine 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 2013-07-10
Find all providers in zip 84108

Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164826665 University of Utah Adult Services Family Medicine 555 Foothill Dr, Salt Lake City, UT 84112-1106 2014-10-14
1508009929 David Matthew Ziegler Family Medicine 590 S Wakara Way, Salt Lake City, UT 84108-1200 2009-04-15
1699796706 University Primary Care Sports Med Family Medicine 555 Foothill Dr, Salt Lake City, UT 84112-1106 2006-07-22
1427022938 Leslie Hardin Rassner Family Medicine 1250 E 3900 S, Suite 260, Salt Lake City, UT 84124-1348 2006-02-14
1740270867 Laura M Anderson Family Medicine 1525 W 2100 S, Salt Lake City, UT 84119-1401 2005-10-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053702431 Weber State University Family Medicine 1001 University Cir, Ogden, UT 84408-5525 2015-02-06
1720169915 Stuart Eliot Willick Family Medicine 1493 Lowell Ave, Park City, UT 84060 2006-10-17
1043210248 Trek Lyons Family Medicine 1300 N 500 E, Suite 130, Logan, UT 84341-2408 2005-07-28
1316323165 Dixie State University Family Medicine 225 S 700 E, St George, UT 84770-3875 2015-08-04
1285013987 Sportsmed Associates LLC Family Medicine 3401 N Center St, Ste 100, Lehi, UT 84043-7497 2015-05-27
1164860573 Brett Wayne Martindale Family Medicine 4700 Harrison Blvd, Ogden, UT 84403-4303 2013-06-07
1053631069 Tye Harrison Family Medicine 1350 N 500 E, Logan, UT 84341-2400 2010-06-02
1720303837 Nicholas E Monson Family Medicine 2132 N 1700 W, 230, Layton, UT 84041-7057 2010-03-31
1346478476 Ryan Albert Slater Family Medicine 1184 E 80 N, American Fork, UT 84003-2906 2009-06-26
1922232867 Christopher R. Gordon Family Medicine 1157 N 300 W, Provo, UT 84604-6124 2009-05-06
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Competitor

Search similar providers

City SALT LAKE CITY
Zip Code 84108

Improve Information

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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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