PEAK ENT ASSOCIATES
NPI 1346489036
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Provo, UT

NPI Status: Active since February 19, 2009

Contact Information

1055 N 300 W
SUITE 401
PROVO, UT
ZIP 84604
Phone: (801) 357-7499
Fax: (801) 373-5980

Get Directions Reviews

  • Organization
  • Otolaryngology
  • Otolaryngology/Facial Plastic Surgery
  • Accepts Insurance
  • CLIA Number: 46D2064223
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-14-2025

About PEAK ENT ASSOCIATES

This page provides the complete NPI Profile along with additional information for Peak Ent Associates, a provider established in Provo, Utah operating as a Otolaryngology, focusing in otolaryngology/facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1346489036 assigned on February 2009. The practitioner's primary taxonomy code is 207YX0905X. The provider is registered as an organization and their NPI record was last updated July 2025. Peak Ent Associates operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Tim Prusse (Administrator)

NPI
1346489036
Provider Legal Name
PEAK ENT ASSOCIATES
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1055 N 300 W SUITE 401 PROVO, UT 84604
Location Phone
(801) 357-7499
Location Fax
(801) 373-5980
Mailing Address
1055 N 300 W SUITE 401 PROVO, UT 84604
Mailing Phone
(801) 357-7499
Mailing Fax
(801) 373-5980
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-19-2009
Last Update Date
07-17-2025
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology Otolaryngology/Facial Plastic Surgery

Taxonomy Code
207YX0905X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

 
2207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

 
3207YX0602XAllopathic & Osteopathic Physicians

Otolaryngology
Otolaryngic Allergy

 
4207YX0901XAllopathic & Osteopathic Physicians

Otolaryngology
Otology & Neurotology

 
5231H00000XSpeech, Language and Hearing Service Providers

Audiologist

 
6363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Bronze Essential 8500 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 1500 - EPO
  • Regence Standard Silver 5000 - EPO
  • SaveWell Standard Bronze 7500 - EPO
  • SaveWell Standard Gold 1500 - EPO
  • SaveWell Standard Silver 5000 - EPO
  • Silver 5000 - EPO
  • Silver 6200 - EPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay - EPO
  • Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TIM PRUSSE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(801) 357-7499

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2064223
Facility Type
Physician Office
Certificate Effective Date
August 15, 2023
Certificate Expiration Date
August 14, 2025
Laboratory Director
SHAHZAD AHMAD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Peak Ent Associates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PEAK ENT ASSOCIATES

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346489036
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2386881806
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 8 + 8 + 1 + 8 + 0 + 6 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1346489036 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851397491DR. PAUL FERRON OLSON M.D.
Individual
Specialist1055 N 300 W STE 204
PROVO, UT 84604
(801) 357-7373
1396741948DR. LORAN DAVIS COOK M.D.
Individual
Specialist1055 N 300 W STE 204
PROVO, UT 84604
(801) 357-7373
1811995004DR. DOUGLAS SCHOW JR. M.D.
Individual
Orthopaedic Surgery1055 N 300 W STE 203
PROVO, UT 84604
(801) 374-9053
1962476002DR. RICHARD WESLEY LATER M.D.
Individual
Pediatrics1055 N 300 W #311
PROVO, UT 84604
(801) 357-7883
1548222706MRS. AMY HARMER COX FNP
Individual
Nurse Practitioner (Pediatrics)1055 N 300 W SUITE 311
PROVO, UT 84604
(801) 357-7800
1598701955DR. SETH ALLRED RIDDLE M.D.
Individual
Otolaryngology1055 N 300 W SUITE 401
PROVO, UT 84604
(801) 357-7499
1396765871 KIRT SCOTT BEUS MD
Individual
Otolaryngology1055 N 300 W SUITE 401
PROVO, UT 84604
(801) 357-7499
1083629828 JAMES THOMAS DANE MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)1055 N 300 W #110
PROVO, UT 84604
(801) 357-7081
1992711253 TRACY A HILL MD
Individual
Internal Medicine (Pulmonary Disease)1055 N 300 W #500
PROVO, UT 84604
(801) 357-7291
1568478832 MICHAEL JOHN PEARCE MD
Individual
Internal Medicine (Pulmonary Disease)1055 N 300 W SUITE 500
PROVO, UT 84604
(801) 357-7291
1780690198 DOUGLAS S ROSS MD
Individual
Internal Medicine (Pulmonary Disease)1055 N 300 W #500
PROVO, UT 84604
(801) 357-7291
1487665238 JULIA G. MEYER M.D.
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)1055 N 300 W SUITE 402
PROVO, UT 84604
(801) 357-7878
1043327471UTAH SLEEP MEDICINE CENTER
Organization
Clinic/Center (Sleep Disorder Diagnostic)1055 N 300 W SUITE 402
PROVO, UT 84604
(801) 357-7878
1225137722DR. DORREL DOUGLAS KOHLER M.D.
Individual
Specialist1055 N 300 W SUITE 302
PROVO, UT 84604
(801) 357-7444
1083793467DR. MAX FORD MCBRIDE PH.D.
Individual
Psychologist (Clinical)1055 N 300 W SUITE 414
PROVO, UT 84604
(801) 357-7757
1811056260UROLOGY CLINIC OF UTAH VALLEY
Organization
Urology1055 N 300 W STE 316
PROVO, UT 84604
(801) 357-7530
1184761736 CURTIS G THOMAS AUD
Individual
Audiologist1055 N 300 W STE 401
PROVO, UT 84604
(801) 357-7499
1639211972UROLOGY CLINIC OF UTAH VALLEY LLC
Organization
Urology1055 N 300 W STE 316
PROVO, UT 84604
(801) 357-7530
1669507562DOUGLAS SCHOW JR., M.D. A PROFESSIONAL CORPORATION
Organization
Orthopaedic Surgery1055 N 300 W SUITE 203
PROVO, UT 84604
(801) 374-9053
1932224516IHC HEALTH SERVICES INC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1055 N 300 W SUITE 104
PROVO, UT 84604
(801) 442-1400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346489036, enumerated in the NPI registry as an "organization" on February 19, 2009

The provider is located at 1055 N 300 W Suite 401 Provo, Ut 84604 and the phone number is (801) 357-7499

This medical organization specializes in Otolaryngology with taxonomy code 207YX0905X with a focus in Otolaryngology/Facial Plastic Surgery

The provider might be accepting Accepts: Aetna CVS Health, BridgeSpan Health Company,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 46D2064223 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 19, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.