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

Zachary R. Jergensen, MD

Individual provider Anesthesiology Physician · NPI 1023502093

Zachary R. Jergensen, MD is an Anesthesiology in Salt Lake City, Utah. Qualified in 2018, 8 years ago. Practices with North Canyon Medical Center Inc, a 72-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri and Utah.

Years since qualifying
8
Licensed in
MO, UT
In the registry since
2018
Specialties on file
4
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

615 S Arapeen Dr Ste 100
Salt Lake City, UT 84108-1239
Phone: (801) 581-6393
Show map & directions

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

Additional practice locations (1)

  • 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 — (314) 362-0227

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 12751738-1205 (UT)
Anesthesiology Physician Taxonomy 207L00000X · Licence 2018020285 (MO)
Anesthesiology Physician Taxonomy 207L00000X · Licence 2020029411 (MO)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 12751738-1205 (UT)

Record details

NPI number1023502093
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2018
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice North Canyon Medical Center Inc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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