RUSSELL S. PETERSEN MD – NPI #1972615474
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.

RUSSELL PETERSEN is an anesthesiologist located in MURRAY, UT. NPPES has assigned the NPI number 1972615474 to RUSSELL PETERSEN on August 31, 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 previously updated about 14 years ago on Oct 15, 2012. 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 RUSSELL PETERSEN below.

NPI Profile for
RUSSELL S. PETERSEN

NPI Number
1972615474
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RUSSELL S. 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
Identifiers

Identifiers for RUSSELL 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 MUTUALUT756601
OTHEREDUCATORS MUTUALUT870545614PE1
OTHERHEALTHY UUT53263
OTHERIHCUT107006198101
OTHERMAILHANDLERSUT538587317
OTHERMOLINAUTPRA04891
OTHERPEHPUT73574
OTHERUMWAUT1502954
OTHERUNITED HEALTHCAREUT2090168
MEDICAIDAZ840935
MEDICAIDID804075500
MEDICAIDNV002086882
MEDICAIDWY112774800
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 91-184977-1205

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

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices
Affiliations
RUSSELL 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

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