Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629489596 Individual Practitioner Male Practitioner

Dr. Mitchell Alan Peterson , MD

Pediatrics • South Jordan, UT

Professional Overview & Biography Verified Profile Summary

Dr. Mitchell Peterson, MD is a registered healthcare professional specializing in Pediatrics in South Jordan, UT. Practice services are available at 1268 W SOUTH JORDAN PKWY STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1268 W South Jordan Pkwy Ste 201

South Jordan, UT 840954653

Telephone 8012549700
Associated Practice Facility / Clinic
🏢 Families First Pediatrics Llc Facility NPI 1194863589

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in South Jordan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
12 Specialists

Practicing in South Jordan, UT (688 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License UT 9529304-1205

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

100 Mario Capecchi Dr

Salt Lake City, UT 841131103

Phone: 8016625700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Jennifer Ashton

Nurse Practitioner - Family

NPI 1013324508
NPI 1093132110

Doctor of Medicine (M.D.)

Wendy Hernandez Nava , CSW

Social Worker - Clinical

NPI 1124977343

Clinical Social Worker

Haley Hawkins , LCSW

Social Worker - Clinical

NPI 1225825870

Licensed Clinical Social Worker

Kirstin Peterson , LCSW

Social Worker - Clinical

NPI 1265231294

Licensed Clinical Social Worker

Janis Hovi , LCSW

Social Worker - Clinical

NPI 1306409420

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active August 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2017

Registered at 1268 W SOUTH JORDAN PKWY STE 201, SOUTH JORDAN, UT 840954653 (Tel: (801) 254-9700)

📍
Updated Business Mailing Address August 03, 2017

Registered at 1268 W SOUTH JORDAN PKWY STE 201, SOUTH JORDAN, UT 840954653 (Tel: (801) 254-9700)

👤
Provider Name / Credentials Updated August 03, 2017

Recorded as MITCHELL PETERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2017

Pediatrics (License #9529304-1205 in UT)

NPI Profile Active May 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2014

Registered at 100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 841131103 (Tel: 8016625700)

📍
Updated Business Mailing Address May 14, 2014

Registered at 100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 841131103

👤
Provider Name / Credentials Updated May 14, 2014

Recorded as MITCHELL PETERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 14, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629489596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2014
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

1268 W South Jordan Pkwy Ste 201

South Jordan, UT 840954653

Phone: 8012549700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.