Chase Burton Petersen (NPI# 1407144702, PAC ID# 6507099637) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1407144702 |
| PAC ID by PECOS | 6507099637 |
| Professional Enrollment ID | I20150706002259 |
| Full Name | Chase Burton Petersen |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Address |
1400 N 500 Logan UT 84341-2455 |
| Phone Number | 4357161000 |
| Gender | M |
| Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1850209420 |
| Number of Group Practice Members | 2290 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460015 | LOGAN REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1400 N 500, Logan, UT 84341-2455 | 4357161000 | IHC HEALTH SERVICES INC |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Physicians | 2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ewa Anna Gniado | Internal Medicine | Ihc Health Services Inc | 4403 Harrison Blvd, Suite 3630, Ogden, UT 84403-3287 |
| Jennifer Christine Green | Nurse Practitioner | Ihc Health Services Inc | 3845 W 4700, Taylorsville, UT 84129-3454 |
| Logan M. Kupitz | Physician Assistant | Ihc Health Services Inc | 1750 Sidewater Dr, Park City, UT 84060-7570 |
| Patricia Maffei Grissom | Nurse Practitioner | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Daniel Noall Bennett | Cardiovascular Disease (cardiology) | Ihc Health Services Inc | 1175 E 50 S, 251 Afh Af Cardiology, American Fork, UT 84003-2850 |
| Alec Kitch | Family Medicine | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Steven Earl Baum | Family Medicine | Ihc Health Services Inc | 962 Sage Dr, Cedar City, UT 84720-1885 |
| Michaela Karrin Johnson | Nurse Practitioner | Ihc Health Services Inc | 110 W 1325, Suite 100, Cedar City, UT 84721-8101 |
| Reid Joseph Leinart | Nurse Practitioner | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
| James Michael Wilks | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Street Address |
1400 N 500 |
| City | LOGAN |
| State | UT |
| Zip | 84341-2455 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elisabeth A Ferlic | Urology | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| Steven G Nail | Emergency Medicine | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| John G Bitwinski | Diagnostic Radiology | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| Steven Ronald Wheelwright | Obstetrics/gynecology | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| Kimberly Dawn Mcculloch | Gynecological Oncology | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| Daniel J Parker | Diagnostic Radiology | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| Kristin F Craig | Obstetrics/gynecology | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| Clair Richard Hopkins | Diagnostic Radiology | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| Douglas Paul Plowman | Emergency Medicine | Ihc Health Services Inc | 1400 N 500, Logan, UT 84341-2455 |
| Jacob Brian Sanderson | Nurse Practitioner | Rocky Mountain Emergency Specialists LLC | 1400 N 500, Emergency Department, Logan, UT 84341-2455 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny E Spencer | Emergency Medicine | Sterling Physician Group Pllc | 1400 N 630 E, Suite 150, Logan, UT 84341 |
| Roger M Moczygemba | Emergency Medicine | Sterling Physician Group Pllc | 1400 N 630 E, Suite 150, Logan, UT 84341 |
| Robert P Young | Dermatology | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Heather B Allred | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Angela K Cronin | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Scott Eric Macdonald | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Christopher J Morgan | Nurse Practitioner | 2150 N Main St, Suite 10, North Logan, UT 84341-1740 | |
| Charles R Acevedo | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Jason Christiansen | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Ryan J Perry | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Find all physicians in zip 84341 | |||
| City | LOGAN |
| Zip Code | 84341 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LOGAN + OBSTETRICS/GYNECOLOGY |
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| 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.