JASON D. PETERSEN MD – NPI #1215105804
Plastic Surgery
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
JASON PETERSEN is a plastic surgeon located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1215105804 to JASON PETERSEN on February 15, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2082S0099X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck
The NPI profile was previously updated about 14 years ago on Aug 07, 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 JASON PETERSEN below.
NPI Profile for
JASON D. PETERSEN
(more than 18 years ago)
#150
SALT LAKE CITY, UT 84117-3569 Phone: (801) 261-5791 Fax: (801) 747-7740
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 |
|---|---|---|
| 2082S0099X - Plastic Surgery / Plastic Surgery Within the Head and Neck (Primary) |
UT | 83185641205 |
| 208200000X - Plastic Surgery |
UT | 83185641205 |
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.