Springville Dermatology & Diagnostics PC
NPI 1992144364 · Dermatopathology Physician · Springville, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Springville Dermatology & Diagnostics PC is a Dermatopathology Physician organization in Springville, UT (NPI 1992144364).
Provider details
- NPI number
- 1992144364
- Entity type
- Organization
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Peterson, Owner/Physician(801) 704-7001
- License
- 72474631204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
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
Mailing address
Additional practice locations (5)
- 1355 N University Ave Ste 160Provo, UT 84604-2723Phone: (385) 475-2116Fax: (801) 210-7012
- 1355 N University Ave Ste 130Provo, UT 84604-2721Phone: (385) 475-2116Fax: (801) 210-7012
- 1449 N 1400 W Ste 22St George, UT 84770-5237Phone: (435) 703-9296Fax: (435) 215-4075
- 2321 N 400 E Ste 200Tooele, UT 84074-3440Phone: (435) 830-6110Fax: (435) 228-6769
- 2326 N 400 EBldg C Suite 202Tooele, UT 84074Phone: (435) 830-6110Fax: (435) 228-6769
Registry dates
- Enumerated
- 2013-06-19
- Last updated
- 2025-06-18
- Certified
- 2025-06-18
Frequently asked questions
- What is Springville Dermatology & Diagnostics PC's NPI number?
- Springville Dermatology & Diagnostics PC's National Provider Identifier (NPI) is 1992144364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Springville Dermatology & Diagnostics PC?
- Springville Dermatology & Diagnostics PC is classified in the NPPES registry as Dermatopathology Physician (Allopathic & Osteopathic Physicians).
- Where is Springville Dermatology & Diagnostics PC located?
- Springville Dermatology & Diagnostics PC's practice location on file with NPPES is 732 N Main St, Springville, UT 84663-1034.
- What is Springville Dermatology & Diagnostics PC's phone number?
- The practice phone number listed in the NPPES registry for Springville Dermatology & Diagnostics PC is (801) 704-7001.
- Does Springville Dermatology & Diagnostics PC accept Medicare?
- Springville Dermatology & Diagnostics PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Springville Dermatology & Diagnostics PC?
- The authorized official listed on Springville Dermatology & Diagnostics PC's NPPES record is Michael Peterson, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Springville Dermatology & Diagnostics PC's NPI active?
- Yes — Springville Dermatology & Diagnostics PC's NPI (1992144364) is active in the NPPES registry as of the last update on 2025-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.