Wallace C Peterson (NPI# 1164539987, PAC ID# 5092789289) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1164539987 |
| PAC ID by PECOS | 5092789289 |
| Professional Enrollment ID | I20100819000848 |
| Full Name | Wallace C Peterson |
| Organization Legal Name | PEDIATRIC ANESTHESIOLOGISTS INC |
| Address |
100 N Mario Capecchi Dr Salt Lake City UT 84113-1103 |
| Phone Number | 8016624980 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 4385618578 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 8016624980 | PEDIATRIC ANESTHESIOLOGISTS INC |
| Organization Legal Name | PEDIATRIC ANESTHESIOLOGISTS INC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernard Van Ginkel | Anesthesiology | Pediatric Anesthesiologists Inc | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| John J Mulroy Jr. | Anesthesiology | Pediatric Anesthesiologists Inc | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Gregory E Smith | Anesthesiology | Pediatric Anesthesiologists Inc | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Charles G Pribble | Anesthesiology | Pediatric Anesthesiologists Inc | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Wade T Smith | Anesthesiology | Pediatric Anesthesiologists Inc | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Christine Chen | Anesthesiology | Pediatric Anesthesiologists Inc | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Benjamin D Greenberg | Anesthesiology | Pediatric Anesthesiologists Inc | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Charles E Liu | Anesthesiology | Pediatric Anesthesiologists Inc | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Michael B Welch | Anesthesiology | Pediatric Anesthesiologists Inc | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Christopher R Miller | Anesthesiology | Pediatric Anesthesiologists Inc | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Street Address |
100 N MARIO CAPECCHI DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84113-1103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Scott Prince | Diagnostic Radiology | Ihc Health Services Inc | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Robert J Bollo | Neurosurgery | University of Utah Pediatric Services | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Michelle Ploutz | Pediatric Medicine | University of Utah Pediatric Services | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Andrew G Smith | Pediatric Medicine | University of Utah Pediatric Acuity Care | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Marielle P Young | Pediatric Medicine | University of Utah Pediatric Services | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| David M Dansie | Diagnostic Radiology | Ihc Health Services Inc | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Kimberly M Molina | Cardiovascular Disease (cardiology) | University of Utah Pediatric Services | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Constance K Maves | Diagnostic Radiology | Ihc Health Services Inc | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Bernard Van Ginkel | Anesthesiology | Pediatric Anesthesiologists Inc | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Adam L Ware | Pediatric Medicine | University of Utah Pediatric Services | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeff Hughes | Physician Assistant | University of Utah Pediatric Surgeons | 100 N Mario Capecchi Dr, Suite 2600, Salt Lake City, UT 84113-1100 |
| Karen F Buchi | Pediatric Medicine | Ihc Health Services Inc | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1100 |
| Tamara D Moores | Emergency Medicine | Ihc Health Services Inc | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| John J Mulroy Jr. | Anesthesiology | Pediatric Anesthesiologists Inc | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Angelica R Putnam | Pathology | University of Utah Pediatric Services | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Anupam R Verma | Pediatric Medicine | University of Utah Pediatric Services | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Marshall E Smith | Pediatric Medicine | University of Utah Pediatric Services | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Jessica M Comstock | Pathology | University of Utah Pediatric Services | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Leah Owen | Ophthalmology | University of Utah Pediatric Services | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Zeinab A Afify | Family Medicine | University of Utah Pediatric Services | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 |
| Find all physicians in zip 84113 | |||
| City | SALT LAKE CITY |
| Zip Code | 84113 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | SALT LAKE CITY + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Wallace C Peterson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.