Doctor profile · Federal record
Dr. Jason Petersen, MD
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · Plastic Surgery Physician · Salt Lake City, UT
- NPI 1215105804
- 18 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5353 S 960 E, #150
Salt Lake City, UT 841173569
(801) 261-5791
fax (801) 747-7740
Credentials & registration
- NPI registered
- February 2008 — 18 yrs on file
- Profile last updated
- August 7, 2012
- Specialty taxonomy
- 2082S0099X — NUCC code
- State license (1)
- Utah #83185641205
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1215105804. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$199
Transactions
6
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| REVANCE THERAPEUTICS, INC. | 2 | $95.90 | |
| Mentor Worldwide LLC | 1 | $34.90 | |
| ABBVIE INC. | 1 | $25.20 | |
| TELA Bio, Inc. | 1 | $21.74 | |
| MOTIVA USA, LLC | 1 | $21.01 |
By nature of payment
Frequently asked questions
What is Dr. Jason Petersen's medical specialty?
Dr. Jason Petersen practices Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Salt Lake City, UT.
Where does Dr. Jason Petersen practice?
Dr. Jason Petersen practices at 5353 S 960 E, Salt Lake City, UT 841173569. Office phone: 8012615791.
What is Dr. Jason Petersen's NPI?
Dr. Jason Petersen's National Provider Identifier (NPI) is 1215105804, issued by NPPES.