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

Jeffrey David Poulsen, MD

Individual provider Anesthesiology Physician · NPI 1083855720

Jeffrey David Poulsen, MD is an Anesthesiology in Provo, Utah. Graduated from Georgetown University School of Medicine in 2006, 20 years ago. Practices with Mountain West Anesthesia LLC, a 265-clinician group and accepts Medicare assignment. Licensed in Oregon and Utah.

Years since qualifying
20
Trained at
Georgetown University School of Medicine
Licensed in
OR, UT
In the registry since
2009
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

1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-7850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD222767 (OR)
Anesthesiology Physician Taxonomy 207L00000X · Licence 7656910-1205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083855720
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 10, 2009
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Mountain West Anesthesia Llc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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