SPENCER GIRARD PETERSON (NPI# 1376186858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376186858 |
| Entity Type | Individual |
| Full Name | SPENCER GIRARD PETERSON |
| Practice Address |
500 N Us Highway 89 Prescott AZ 86313-5001 |
| Practice Telephone | 9287766018 |
| Practice Fax Number | 9287177596 |
| Mailing Telephone | 9287766018 |
| Mailing Fax Number | 9287177596 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255R0406X |
Specialist/Technologist Specialization: Rehabilitation, Blind |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962851667 | Spencer O'brien Peterson | Orthopaedic Surgery | 4175 S. Alamo Ave, Tucson, AZ 85707-4405 | 2016-06-03 |
| 1740426048 | Spencer Howard Peterson Jr. | Internal Medicine | 835 E 18th Ave Ste 110, Denver, CO 80218 | 2008-12-17 |
| Street Address |
500 N US HIGHWAY 89 |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86313-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073506259 | Samuel Irwin Dolnick | Podiatrist | 500 N Us Highway 89, 5th Floor Surgery, Prescott, AZ 86313-5001 | 2005-08-23 |
| 1093322653 | Jason Kelly Ducat | Social Worker | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2020-09-28 |
| 1952926842 | Katie Elizabeth Keever | Registered Nurse | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2020-06-16 |
| 1780208918 | Melissa Marie Kelly | Registered Nurse | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2020-06-03 |
| 1063035541 | Michelle O'cleireachain | Psychologist | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2020-05-19 |
| 1538792569 | Lisa Ann Monville | Social Worker | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2020-02-18 |
| 1285274597 | Malgorzata Chmura-witusik | Registered Nurse | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2020-01-14 |
| 1740829456 | Jessica Folts | Dietitian, Registered | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2019-12-27 |
| 1578102570 | Lisa Phillips | Dietitian, Registered | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2019-12-23 |
| 1134765217 | Linh Tu | Pharmacist | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2019-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896646 | Kelly Anne Brewer | Respiratory Therapist, Registered | 500 N. State Route 89, Cpap Clinic, Prescott, AZ 86313 | 2020-09-17 |
| 1740548908 | Jaiah Townsend | Respiratory Therapist, Registered | 500 Hwy 89n, Northern Arizona Va Hospital, Prescott, AZ 86313 | 2012-04-25 |
| 1902174618 | Rebecca Jean West | Social Worker | 500 Az-89, Bldg 155, Prescott, AZ 86313 | 2011-12-08 |
| 1740428648 | Ruthie Hunter | Social Worker | 500 North Us Highway 89, Prescott, AZ 86313 | 2009-01-30 |
| 1659586782 | Debra Lea Mcaninch | Nurse Practitioner | 500 Hwy 89 N, Prescott, AZ 86313 | 2007-05-11 |
| 1972697159 | Ted A. Mize I | Physical Therapist | 500 Us Highway 89 North, Prescott, AZ 86313 | 2006-10-03 |
| 1487755393 | Tana Bourdage-allman | Nurse Practitioner | Navahcs 550 North Highway 89, Prescott, AZ 86313 | 2006-09-25 |
| 1497859805 | Denise Perry | Dietitian, Registered | 500 Highway 89n, Va Medical Center, Prescott, AZ 86313 | 2006-09-08 |
| 1609986579 | Jeffrey C. Peters | Pharmacist | 500 N Us Hwy 89, Prescott, AZ 86313 | 2006-08-30 |
| 1578671780 | Debra M Hiller | Nurse Practitioner | Navahcs Highway 89, Prescott, AZ 86313 | 2006-08-28 |
| Find all providers in zip 86313 | ||||
| Taxonomy Code | 2255R0406X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Rehabilitation, Blind |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508293143 | Laurie Ann Hallman | Specialist/Technologist | 3601 S 6th Ave # 3d-124, Tucson, AZ 85723-0001 | 2013-09-27 |
| 1467053777 | Manami Christie Okoshi | Specialist/Technologist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-11-03 |
| 1609404086 | Nicole James | Specialist/Technologist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-03-31 |
| 1629606058 | Nancy Fairbanks | Specialist/Technologist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-03-31 |
| 1245482405 | Deborah Louise Nore | Specialist/Technologist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2008-10-21 |
| 1679587026 | Karl White | Specialist/Technologist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2006-07-28 |
Please comment or provide details below to improve the information on SPENCER GIRARD PETERSON.
| 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.