PAUL M PETELIN JR. (NPI# 1245328871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245328871 |
| Entity Type | Individual |
| Full Name | PAUL M PETELIN JR. |
| Credential | MD |
| Practice Address |
14269 N 87th St Ste 203 Scottsdale AZ 85260-3695 |
| Practice Telephone | 4804838882 |
| Practice Fax Number | 4805631413 |
| Mailing Telephone | 4804838882 |
| Mailing Fax Number | 4807364836 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 29999 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 545 N Peart Rd, Casa Grande, AZ 851225344 | 4808959000 | 4805631413 |
| 13613 W Camino Del Sol Ste 2, Sun City West, AZ 853754480 | 6235842100 | 6235840023 |
| 10440 E Riggs Rd Ste 160, Sun Lakes, AZ 852487757 | 4808958900 | |
| 10619 N Hayden Rd Ste 101, Scottsdale, AZ 852608510 | 4809480733 | 4804435611 |
| 36889 N Tom Darligton Dr, Suite 2, Carefree, AZ 85377 | 4804888113 | 4804880307 |
| 7727 W Deer Valley Rd Ste 200, Peoria, AZ 853822120 | 6233769070 | 6233769079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124201819 | Paul M Petelin Sr. | Dermatology | 14275 N 87th St, Ste 110, Scottsdale, AZ 85260-3696 | 2007-12-17 |
| Street Address |
14269 N 87TH ST STE 203 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85260-3695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245767409 | Vmas Solutions LLC | Public Health or Welfare | 14269 N 87th St Ste 203, Scottsdale, AZ 85260-3695 | 2017-05-18 |
| 1265591374 | Scottsdale Center for Sight, Plc | Ophthalmology | 14269 N 87th St Ste 203, Scottsdale, AZ 85260-3695 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
| 1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
| 1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
| 1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
| 1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
| Find all providers in zip 85260 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679936512 | Sravanthi Vegunta | Ophthalmology | 11023 N Saint Andrews Way, Scottsdale, AZ 85254-4801 | 2016-03-29 |
| 1982010773 | Phoenix Eye Group, LLC | Ophthalmology | 10250 N 92nd St Ste 105, Scottsdale, AZ 85258-4517 | 2014-07-01 |
| 1912269689 | Kevin Randall Tozer | Ophthalmology | 9811 N 95th St Ste 101, Scottsdale, AZ 85258-4527 | 2012-06-08 |
| 1093081846 | Arthur Norman Landau | Ophthalmology | 9280 E Thompson Peak Pkwy, Unit 9, Scottsdale, AZ 85255-4520 | 2012-03-27 |
| 1497996433 | Zachary Joe Berbos | Ophthalmology | 8763 E Bell Rd Ste 106, Scottsdale, AZ 85260-1318 | 2009-03-22 |
| 1770724031 | Michael Alan Reisman | Ophthalmology | 37697 N 94th St, Scottsdale, AZ 85262-2539 | 2009-03-17 |
| 1578714622 | Arizona Oculoplastic Specialists, Pllc | Ophthalmology | 9431 E Ironwood Square Drive, Scottsdale, AZ 85258-3696 | 2008-10-07 |
| 1861559668 | Valleywide Physician Eyecare Plc | Ophthalmology | 9920 N 117th Pl, Scottsdale, AZ 85259-5080 | 2007-01-02 |
| 1477626976 | Affiliated Ophthalmologists of Scottsdale Ltd | Ophthalmology | 7331 E Osborn Drive, Suite #130, Scottsdale, AZ 85251-6415 | 2006-11-15 |
| 1518057603 | David Rodric Johnson | Ophthalmology | 10619 N Hayden Rd Ste 101, Scottsdale, AZ 85260-8510 | 2006-10-13 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85260 |
Please comment or provide details below to improve the information on PAUL M PETELIN JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.