DR. JASON DAYNE PETERSEN MD
NPI 1215105804
Plastic Surgery - Plastic Surgery Within the Head and Neck in Salt Lake City, UT

NPI Status: Active since February 15, 2008

Contact Information

5353 S 960 E
#150
SALT LAKE CITY, UT
ZIP 84117
Phone: (801) 261-5791
Fax: (801) 747-7740

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  • Individual
  • Male
  • Plastic Surgery
  • Plastic Surgery Within the Head and Neck

About JASON PETERSEN

This page provides the complete NPI Profile along with additional information for Jason Petersen, a provider established in Salt Lake City, Utah with a medical specialization in Plastic Surgery, focusing in plastic surgery within the head and neck . The healthcare provider is registered in the NPI registry with number 1215105804 assigned on February 2008. The practitioner's primary taxonomy code is 2082S0099X with license number 83185641205 (UT). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1215105804
Provider Name
DR. JASON DAYNE PETERSEN MD
Gender
Male
Entity Type
Individual
Location Address
5353 S 960 E #150 SALT LAKE CITY, UT 84117
Location Phone
(801) 261-5791
Location Fax
(801) 747-7740
Mailing Address
5353 S 960 E #150 SALT LAKE CITY, UT 84117
Mailing Phone
(801) 971-8684
Is Sole Proprietor?
No
Enumeration Date
02-15-2008
Last Update Date
08-07-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Plastic Surgery Plastic Surgery Within the Head and Neck

Taxonomy Code
2082S0099X
Type
Allopathic & Osteopathic Physicians
License No.
83185641205
License State
UT
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208200000XAllopathic & Osteopathic Physicians

Plastic Surgery

83185641205 (UT)

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215105804, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 2 + 0 + 1 + 0 + 8 + 0 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1215105804.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Pharmacist
5353 S 960 E
SALT LAKE CITY, UT 84117
Pharmacist
5353 S 960 E
SALT LAKE CITY, UT 84117
Pharmacist
5353 S 960 E, #103
SALT LAKE CITY, UT 84117
Clinic/Center (Medical Specialty)
5353 S 960 E, #150
SALT LAKE CITY, UT 84117
Psychologist (Clinical)
5353 S 960 E, SUITE 230
MURRAY, UT 84117
Psychologist (Forensic)
5353 S 960 E, SUITE 230
MURRAY, UT 84117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215105804, enumerated as an "individual" on February 15, 2008.

The provider is located at 5353 S 960 E #150 SALT LAKE CITY, UT 84117 and the phone number is (801) 261-5791.

Plastic Surgery with taxonomy code 2082S0099X and a focus in Plastic Surgery Within the Head and Neck.