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

Shane L Petersen, MD

Individual provider Anesthesiology Physician · NPI 1770593246

Shane L Petersen, MD is an Anesthesiology in Murray, Utah. Graduated from University of Utah School of Medicine in 2001, 25 years ago. Practices with Mountain West Anesthesia LLC, a 265-clinician group and accepts Medicare assignment. Licensed in Oregon and Utah.

Years since qualifying
25
Trained at
University of Utah School of Medicine
Licensed in
OR, UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5121 S Cottonwood Street Intermountain Medical Ctr
Murray, UT 84157
Phone: (801) 507-5248
Fax: (801) 733-5618
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 2434068-1205 (UT)
Anesthesiology Physician Taxonomy 207L00000X · Licence MD227949 (OR)

Record details

NPI number1770593246
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2006
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing address3340 North Center St #800, Lehi, UT 84043-7406

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Mountain West Anesthesia Llc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Murray