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).
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 |
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 |
Street Address |
590 S WAKARA WAY |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84108-1200 |
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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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 Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
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. |
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 |
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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City | SALT LAKE CITY |
Zip Code | 84108 |
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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.