Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Richard Peterson, MD

Individual provider Orthopaedic Surgery Physician · NPI 1457705386

Dr. Jonathan Richard Peterson, MD is an Orthopedic Surgery in Salt Lake City, Utah. Graduated from University of Michigan Medical School in 2016, 10 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in North Carolina and Utah.

Years since qualifying
10
Trained at
University of Michigan Medical School
Licensed in
NC, UT
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

24 S 1100 E Ste 101
Salt Lake City, UT 84102-1562
Phone: (801) 355-6468
Fax: (801) 355-3450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 6547620-1205 (UT)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 2019-00197 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457705386
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 18, 2016
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2016 (10 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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