EDWARD P. PETROW JR. (NPI# 1326099698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326099698 |
| Entity Type | Individual |
| Full Name | EDWARD P. PETROW JR. |
| Credential | DO |
| Practice Address |
6320 N La Cholla Blvd Ste 200 Tucson AZ 85741-3549 |
| Mailing Address |
Po Box 31630 Tucson AZ 85751-1630 |
| Practice Telephone | 5203828200 |
| Practice Fax Number | 5202973505 |
| Mailing Telephone | 5207846200 |
| Mailing Fax Number | 5207846109 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 005334 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
005334 | AZ | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
005334 | AZ | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
005334 | AZ | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
005334 | AZ | Allopathic & Osteopathic Physicians |
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
005334 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 468643 | 05 |
| Street Address |
6320 N LA CHOLLA BLVD STE 200 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85741-3549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460566 | Judith M Stannard | Physician Assistant | 6320 N La Cholla Blvd Ste 200, Tucson, AZ 85741-3549 | 2005-07-13 |
| 1548828213 | Jessica Kristin Hernandez | Physical Therapy Assistant | 6320 N La Cholla Blvd Ste 200, Tucson, AZ 85741-3549 | 2019-05-29 |
| 1619491768 | Natalie Hockings | Registered Nurse | 6320 N La Cholla Blvd Ste 200, Tucson, AZ 85741 | 2017-07-31 |
| 1659814523 | Beth Brown | Nurse Practitioner | 6320 N La Cholla Blvd Ste 200, Tucson, AZ 85741-3549 | 2016-11-28 |
| 1851791354 | Jessica Gonzalez Pons | Physical Therapist | 6320 N La Cholla Blvd Ste 200, Tucson, AZ 85741-3549 | 2014-09-03 |
| 1598185696 | Elizabeth A. Erven | Physical Therapy Assistant | 6320 N La Cholla Blvd Ste 200, Tucson, AZ 85741-3549 | 2014-04-16 |
| 1285065029 | Tucson Orthopaedic Institute Professional Corporation | Physical Medicine & Rehabilitation | 6320 N La Cholla Blvd Ste 200, Tucson, AZ 85741-3549 | 2013-12-04 |
| 1528305661 | Je'an Tureaud | Physical Therapy Assistant | 6320 N La Cholla Blvd Ste 200, Tucson, AZ 85741-3549 | 2013-01-09 |
| 1023383635 | Mary Beth Barone | Physical Therapist | 6320 N La Cholla Blvd Ste 200, Tucson, AZ 85741-3549 | 2012-03-14 |
| 1821374984 | Laura A Zimmerman | Registered Nurse | 6320 N La Cholla Blvd Ste 200, Tucson, AZ 85741-3549 | 2011-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790237 | Taylor Seery Schwab | Occupational Therapist | Marana Unified School District, 7651 North Oldfather Dr, Tucson, AZ 85741 | 2020-11-03 |
| 1366095374 | Rita Jean Weatherholt | Counselor | 7382 N Lacholla Blvd., Tucson, AZ 85741 | 2019-07-18 |
| 1225690076 | Center for Pain Management LLC | Clinic/Center | 6060 N Fountain Drive, Tucson, AZ 85741 | 2019-07-02 |
| 1124506019 | Emily Jensen | Speech-Language Pathologist | Thornydale Elementary School, 7651 N Oldfather Rd, Tucson, AZ 85741 | 2018-08-01 |
| 1366954703 | Solterra La Cholla Operations, Lp | Assisted Living Facility | 6505 North La Cholla Blvd, Tucson, AZ 85741 | 2017-10-25 |
| 1932636123 | Tucson Digestive Institute LLC | Clinic/Center | 7566 N La Cholla Blvd Ste B, Tucson, AZ 85741 | 2017-05-18 |
| 1336591437 | Eugene Choi | Dentist | 7578 N. La Cholla Blvd, Tucson, AZ 85741 | 2016-07-13 |
| 1841672763 | Gang Li | Dentist | 2242 W Distant Song St., Tucson, AZ 85741 | 2015-06-27 |
| 1467870378 | Lisa Tucci | Nurse Practitioner | 7105 N. Lacholla Blvd., Tucson, AZ 85741 | 2014-03-29 |
| 1457639197 | Vanessa Moore | Speech-Language Pathologist | 3400 West Massingale Road, Tucson, AZ 85741 | 2011-07-29 |
| Find all providers in zip 85741 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639516255 | Gregory Maxwell Gosey | Orthopaedic Surgery | 1609 N Warren Ave, Tucson, AZ 85719-3761 | 2013-05-23 |
| 1295813418 | James Byron Benjamin | Orthopaedic Surgery | 1555 E River Rd, Tucson, AZ 85718-5831 | 2006-11-02 |
| 1114005253 | Michael David Miller | Orthopaedic Surgery | 1555 E River Rd, Tucson, AZ 85718-5831 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114172251 | James Alan Rand | Orthopaedic Surgery | 6621 E Ironwood Dr, Paradise Valley, AZ 85253-2621 | 2008-11-17 |
| 1275729345 | Dan H Heller | Orthopaedic Surgery | 9327 N 3rd St Ste 101, Phoenix, AZ 85020-2471 | 2007-09-21 |
| 1609901057 | Salvatore G Lacognata | Orthopaedic Surgery | 3941 E Baseline Rd Ste 102, Gilbert, AZ 85234-2750 | 2007-02-23 |
| 1285781401 | Doug Steven Clouse | Orthopaedic Surgery | 3530 S Val Vista Dr Ste B105, Gilbert, AZ 85297-7318 | 2007-01-03 |
| 1841202678 | The Joint Replacement Center of Scottsdale | Orthopaedic Surgery | 10250 North 92nd Street, Suite 202, Scottsdale, AZ 85258-6709 | 2006-08-12 |
| 1396716262 | Brent Paul Hansen | Orthopaedic Surgery | 6320 W Union Hills Dr Ste 1800, Glendale, AZ 85308-1372 | 2006-01-30 |
| 1154327815 | Stuart Craig Kozinn | Orthopaedic Surgery | 9700 N 91st St Ste A115, Scottsdale, AZ 85258-5036 | 2005-06-27 |
| 1508340209 | Orthopaedic Specialists of Scottsdale, Pllc | Orthopaedic Surgery | 20401 N 73rd St Ste 135, Scottsdale, AZ 85255-4148 | 2018-09-18 |
| 1629439005 | Greater Phoenix Orthopedics | Orthopaedic Surgery | 20401 N 73rd St, Suite 155, Scottsdale, AZ 85255-4107 | 2016-03-14 |
| 1760892483 | Gregory T Evangelista Md LLC | Orthopaedic Surgery | 3271 N Civic Center Plz Ste 110, Scottsdale, AZ 85251-6990 | 2014-05-02 |
| Find all providers with the same taxonomy | ||||
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| 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.