Derek Petersen, PA-C
- Industry payments
- $18
- Affiliated sites
- 1
- State license
- 1
- Year NPI issued
- 2017
- Practice locations
- 2
- Practice address
- 425 East 5350 South, Suite 355, Ogden, UT 84405
- Practice phone
- Call (801) 475-7007
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Midtown Children's Clinic
FQHC - Main Site · Ogden, Utah
Find Derek Petersen's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Derek Petersen is a physician assistant in Ogden, Utah
Derek Petersen practices at Midtown Children's Clinic in Ogden, Utah.
Derek Petersen's NPI, 1104365113, was assigned on February 23, 2017. Derek Petersen holds Utah license 10232646-1206.
- NPI
- 1104365113NPI Registry (opens in a new tab)
- NPI enumeration date
- February 23, 2017
- NPI status
- Active
- Practice phone
- (801) 475-7007
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data
Derek Petersen practices at 2 locations in Ogden, Utah
Derek Petersen's primary practice is Midtown Children's Clinic, at 425 East 5350 South, Suite 355, Ogden, UT 84405 in Weber County. The practice phone is (801) 475-7007. Derek Petersen also practices at Midtown Chc Children's, 5291 S 400 E, Ogden, UT 84405.
- Midtown Children's ClinicPrimary425 East 5350 South, Suite 355, Ogden, UT 84405 · Weber CountyPhone(801) 475-7007
- Midtown Chc Children's5291 S 400 E, Ogden, UT 84405 · Weber CountyPhone(801) 334-0048
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; and Dmand AI Practice Data
Derek Petersen is affiliated with 1 site of care
Derek Petersen's primary practice is Midtown Children's Clinic in Ogden, Utah. Derek Petersen's employer is on file too: a community health center (fqhc).
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Derek Petersen's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Derek Petersen practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Midtown Children's Clinic | Available with a free account |
Source: Dmand AI Technology Install Data
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Derek Petersen is one of 1,645 physician assistants in Utah
Physician assistant is Derek Petersen's primary specialty in the NPI Registry, under taxonomy code 363A00000X. Derek Petersen is licensed in Utah.
Specialties and state licenses
- Physician assistant, UtahPrimary
Physician assistants near Derek Petersen
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Derek Petersen's patients have a median age of 8
Across all payers, Dmand AI patient panel data puts Derek Petersen's median patient age at 8, with 45% women.
Derek Petersen's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 8
Patient panel by sex, all payers
- Women45%
- Men55%
Source: Dmand AI Patient Panel Data
Derek Petersen received $18 in industry payments in 2025
CMS Open Payments shows 1 general payment to Derek Petersen from 1 drug or device company in 2025. Food and beverage make up the largest share, 100% of the total. Cranial Technologies, Inc paid the most, $18.
Companies that paid Derek Petersen the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Derek Petersen's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Derek Petersen
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Derek Petersen's NPI number?
Derek Petersen's NPI number is 1104365113. It was assigned on February 23, 2017, and it is active in the NPI Registry.
What does Derek Petersen specialize in?
Derek Petersen is a physician assistant in Ogden, Utah. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).
Where does Derek Petersen practice?
Derek Petersen practices at 425 East 5350 South, Suite 355, Ogden, UT 84405. Derek Petersen also practices at 5291 S 400 E, Ogden, UT 84405. Derek Petersen's primary practice is Midtown Children's Clinic in Ogden, Utah.
What is Derek Petersen's office phone number?
The practice phone on file for Derek Petersen is (801) 475-7007.
What is Derek Petersen's medical license number?
Derek Petersen holds Utah license 10232646-1206.
Has Derek Petersen received payments from drug or device companies?
CMS Open Payments shows $18 in general payments to Derek Petersen from 1 company from 2025 to 2025. The largest total came from Cranial Technologies, Inc.
How long has Derek Petersen been practicing?
Derek Petersen's NPI was assigned in 2017.
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