Lee M Peterson, MD
Lee M Peterson is a Surgery Physician provider (Surgery) practicing in Provo, UT, registered in the NPPES registry with NPI 1316987613 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1316987613 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Lee M Peterson |
| Credential | MD |
| Sex | Male |
| Practice address | 3550 N UNIVERSITY AVE, SUITE 250, Provo, UT, 84604 |
| Phone | 8013749625 |
| Fax | 8013749690 |
| Enumeration date | 2006-06-07 |
| Last updated in NPPES | 2007-07-10 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 1766331205 | UT |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870516264009 | Medicaid | UT | — |
Copy-ready billing details
Provider: Lee Peterson, MD NPI: 1316987613 Taxonomy: 208600000X (Surgery Physician) Address: 3550 N UNIVERSITY AVE, SUITE 250, Provo, UT, 84604
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1851347090 | Craig Cook | Individual | Surgery Physician | Provo, UT |
| 1497702252 | David Garry | Individual | Surgery Physician | Provo, UT |
| 1699715664 | Bruce Hill | Individual | Surgery Physician | Provo, UT |
| 1568497634 | Jennifer Tittensor | Individual | Surgery Physician | Provo, UT |
| 1700932068 | David Watts | Individual | Surgery Physician | Provo, UT |
| 1205024122 | David Brock | Individual | Surgical Physician Assistant | Provo, UT |
| 1336697473 | Rachel Freeman | Individual | Family Nurse Practitioner | Provo, UT |
Verify this record
Cross-check NPI 1316987613 against the authoritative CMS record: view Lee M Peterson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-10.