SHANE L. PETERSEN MD – NPI #1770593246
Anesthesiology

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

SHANE PETERSEN is an anesthesiologist located in MURRAY, UT. NPPES has assigned the NPI number 1770593246 to SHANE PETERSEN on August 08, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207L00000X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology.

The NPI profile was last updated on Dec 29, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHANE PETERSEN below.

NPI Profile for
SHANE L. PETERSEN

NPI Number
1770593246
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SHANE L. PETERSEN
Credentials
MD
Primary location
5121 S COTTONWOOD STREET
INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT 84157
Phone: (801) 507-5248 Fax: (801) 733-5618
Mailing address
3340 NORTH CENTER ST #800
LEHI, UT 84043-7406
Phone: (801) 990-1911 Fax: (801) 990-1912
Sole Proprietor
No
Updated
Certification Date
Dec 29, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SHANE PETERSEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherALTIUSUTQM0000075886
otherDESERET MUTUALUT907869
otherHEALTHY UUT99469
otherIHCUT107038030101
otherMOLINAUTQMP000003262280
otherPEHPUT83770
otherREGENCE BCBSUT24340681200001
otherUMWAUT1502954
otherUNITED HEALTHCAREUT2090168
medicaidAZ941379
medicaidID807171600
medicaidNV100506343
medicaidWY121124200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207L00000X
- Anesthesiology (Primary)
UT 2434068-1205

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF UTAH SCHOOL OF MEDICINE - Graduated 2001
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SHANE PETERSEN is affiliated with the following medical group(s):
  • HOSPITAL
    • INTERMOUNTAIN MEDICAL CENTER
      5121 SOUTH COTTONWOOD STREET
      MURRAY, UT 84107
    • THE ORTHOPEDIC SPECIALTY HOSPITAL
      5848 SOUTH 300 EAST
      MURRAY, UT 84107

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.