ASPEN COSMETIC DERMATOLOGY
NPI 1154641272
Dermatology in Bountiful, UT

Active since June 11, 2010
425 MEDICAL DR. STE 220, BOUNTIFUL, UT 84010(801) 295-3095 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aspen Cosmetic Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASPEN COSMETIC DERMATOLOGY (NPI 1154641272) is a healthcare organization registered as a dermatology in Bountiful, Utah and active in the NPI registry since June 2010. The organization lists John Peterson, Md, as its authorized official.

NPPES Registry Identity

NPI1154641272
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameANOVA DERMATOLOGY PC
Location Address425 MEDICAL DR. STE 220Bountiful, UT 84010
Mailing Address425 Medical Dr. Ste 220Bountiful, UT 84010 · (801) 295-3095
Organization SubpartNo
Authorized OfficialJohn PetersonMd · (801) 295-3095
Enumeration DateJune 11, 2010
Last NPPES UpdateAugust 30, 2010
NPI 1154641272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
425 MEDICAL DR. STE 220, Bountiful, UT 84010

Other Names 1

Doing Business AsAspen Cosmetic Dermatology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anova Dermatology PC's NPI number?

The NPI number for Anova Dermatology PC is 1154641272. It was assigned to this organization in the NPPES registry on June 11, 2010. The provider is doing business as Aspen Cosmetic Dermatology.

Where is Anova Dermatology PC located?

Anova Dermatology PC is located at 425 Medical Dr. Ste 220, Bountiful, UT 84010. The listed phone number is (801) 295-3095.

What is Anova Dermatology PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Anova Dermatology PC was last updated on August 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.