OrganizationActive
Anova Dermatology PC
NPI 1154641272 · Dermatology Physician · Bountiful, UT
Provider details
- NPI number
- 1154641272
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Peterson, MD(801) 295-3095
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
425 Medical Dr. Ste 220
Bountiful, UT 84010
Phone: (801) 295-3095
Street-level locationGet directions
Mailing address
425 Medical Dr. Ste 220
Bountiful, UT 84010
Other names (DBA / former)
- Doing business as
- Aspen Cosmetic Dermatology
Registry dates
- Enumerated
- 2010-06-11
- Last updated
- 2010-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.