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GARY PETERSEN MD
NPI 1295775971
Internal Medicine - Cardiovascular Disease in St George, UT

Active since June 08, 2006
1380 E MEDICAL CENTER DR, STE # 4100, ST GEORGE, UT 84790(435) 251-2900(435) 251-2916 Get Directions Write a Review

NPPES record last updated: September 5, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Gary Petersen Md NPPES

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

GARY PETERSEN MD (NPI 1295775971) is an individual cardiovascular disease provider in St George, Utah, licensed in Utah (154580-1205) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1295775971
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameGARY PETERSENCredential: MD
Location Address1380 E MEDICAL CENTER DR, STE # 4100St George, UT 84790-2156
Mailing Address1380 E Medical Center Dr, Ste # 4100St George, UT 84790-2156 · (435) 251-2900 · Fax (435) 251-2916
Phone(435) 251-2900
Fax(435) 251-2916
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateSeptember 5, 2008
✔ NPI 1295775971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in UT · 154580-1205
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1380 E MEDICAL CENTER DR, St George, UT 84790
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Other Identifiers 4

Medicare PIN000061131UT
Medicaid100507061UT
Medicare UPIND20410
Medicare ID-Type Unspecified005574703UT · Medicare Id

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMY COVINGTON WERRETT
Speech-Language Pathologist
1380 E MEDICAL CENTER DR
ST GEORGE, UT 84790
Washington County (435) 251-1000
MICHAEL LOCKE ETTINGER
Physical Therapist
1380 E MEDICAL CENTER DR
ST GEORGE, UT 84790
Washington County (435) 251-1000
MICHAEL CHRISTENSEN DO
Anesthesiology
1380 E MEDICAL CENTER DR
ST GEORGE, UT 84790
Washington County (435) 251-1000
TRACY R ORR MD
Radiology (Diagnostic Radiology)
1380 E MEDICAL CENTER DR
ST GEORGE, UT 84790
Washington County (435) 688-4000
IHC HEALTH SERVICES INC
Internal Medicine (Hospice and Palliative Medicine)
1380 E MEDICAL CENTER DR
ST GEORGE, UT 84790
Washington County (385) 887-6277
CHRISTOPHER RAY ANDREW NP
Nurse Practitioner
1380 E MEDICAL CENTER DR
ST GEORGE, UT 84790
Washington County (435) 251-1000
HOLLY ANN RANDALL
Social Worker
1380 E MEDICAL CENTER DR
ST GEORGE, UT 84790
Washington County (435) 251-1000
DYLAN KRUPP PHARMD
Pharmacist
1380 E MEDICAL CENTER DR
ST GEORGE, UT 84790
Washington County (435) 251-4636

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 Gary Petersen's NPI number?

The NPI number for Gary Petersen is 1295775971. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Gary Petersen located?

Gary Petersen practices at 1380 E Medical Center Dr Ste # 4100, St George, UT 84790. The listed phone number is (435) 251-2900.

What is Gary Petersen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Gary Petersen was last updated on September 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.