RICHARD NICHOLAS PETERSON (NPI# 1386949659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386949659 |
| Entity Type | Individual |
| Full Name | RICHARD NICHOLAS PETERSON |
| Credential | PA |
| Practice Address |
1705 E Hanna Rd Eloy AZ 85131-9612 |
| Mailing Address |
1932 S Falcon Dr Gilbert AZ 85295-5869 |
| Practice Telephone | 5204643067 |
| Mailing Telephone | 4807346261 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
4680 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992034110 | Richard Allen Peterson | Pharmacist | 3918 Breckinridge Dr, Okemos, MI 48864-3829 | 2009-12-17 |
| 1114158706 | Richard Michael Peterson | Chiropractor | 1078 Miramonte Dr, #6, Santa Barbara, CA 93109-1319 | 2009-07-31 |
| 1508981168 | Richard Stephen Peterson | Marriage & Family Therapist | 1000 S Main St Ste 210b, Salinas, CA 93901-2354 | 2007-03-20 |
| 1932201985 | Richard Boyd Peterson | Internal Medicine | 424 Division St, Suite 100, South Charleston, WV 25309-1400 | 2006-09-01 |
| 1659383008 | Richard James Peterson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 623 39th St W, Suite 2, Bradenton, FL 34205-2408 | 2006-08-13 |
| 1639104987 | Richard L Peterson | Chiropractor | 2185 Liberty St Ne, Salem, OR 97301-8353 | 2006-07-12 |
| 1629075205 | Richard Nils Peterson | Family Medicine | 2130 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6405 | 2005-06-28 |
| 1457784340 | Richard O Peterson | Physical Therapist | 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 | 2013-08-14 |
| 1285071993 | Richard Franklin Peterson | Social Worker | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2013-06-04 |
| 1720246036 | Richard Peterson | Physical Therapist | 601 N Briarcliff Dr, Appleton, WI 54915-2959 | 2008-05-23 |
| Street Address |
1705 E HANNA RD |
| City | ELOY |
| State | AZ |
| Zip Code | 85131-9612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912473 | Charity Ukwuoma | Nurse Practitioner | 1705 E Hanna Rd, Eloy, AZ 85131-9612 | 2016-06-10 |
| 1952760894 | Casey Iwai | Psychologist | 1705 E Hanna Rd, Eloy, AZ 85131-9612 | 2016-02-21 |
| 1063840874 | Malcolm Nasirah | Pharmacist | 1705 E Hanna Rd, Eloy, AZ 85131-9612 | 2013-10-15 |
| 1528320330 | Jose Aparicio | Pharmacist | 1705 E Hanna Rd, Eloy, AZ 85131-9612 | 2012-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922588656 | Launi Ethington | Speech-Language Pathologist | 1000 N Curiel St, Eloy, AZ 85131 | 2018-08-21 |
| 1871970111 | Luminaria, LLC | Community Based Residential Treatment Facility, Mental Illness | 3477 E Batten Road, Eloy, AZ 85131 | 2015-05-06 |
| 1144607896 | Precious Dental Service Plc | Dentist | 3260 North Toltec Road, Eloy, AZ 85131 | 2015-05-01 |
| 1275927857 | Roy Montgomery | Physician Assistant | 1750 E Arica Rd, Eloy, AZ 85131 | 2015-03-23 |
| 1982945283 | Resiliency Integrated Healthcare Services | Community Based Residential Treatment Facility, Mental Illness | 112 E 3rd Street, Suite 4, Eloy, AZ 85131 | 2013-03-12 |
| 1528588837 | Rosalinda Ibarra | Counselor | 107 East 4th Street, Eloy, AZ 85131 | 2017-06-27 |
| 1821544081 | Iman Chamas | Physician Assistant | 205 N Stuart Blvd, Eloy, AZ 85131 | 2016-08-28 |
| 1063755247 | Precious Hands Healthcare | Home Health | 112 E 3rd Street, Eloy, AZ 85131 | 2013-04-05 |
| 1942617519 | Penny Jean Klein | Counselor | 4055 North Cameron Drive, Eloy, AZ 85131-1040 | 2014-07-16 |
| 1447815675 | Haymee Verenice Lucio | Student in an Organized Health Care Education/Training Program | 4120 N Cameron Dr, Eloy, AZ 85131-1501 | 2019-05-02 |
| Find all providers in zip 85131 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928374 | Michael James Porter | Physician Assistant | 20003 N 77th Dr, Glendale, AZ 85308-8339 | 2020-09-30 |
| 1073121505 | Alexandra R Koolmees | Physician Assistant | 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818 | 2020-07-21 |
| 1194343897 | Alyssa Kay Poland | Physician Assistant | 10006 W Los Gatos Dr, Peoria, AZ 85383-3343 | 2020-07-08 |
| 1568080620 | Manuel Gerardo Pompa | Physician Assistant | 3848 N 3rd Ave Unit 3071, Phoenix, AZ 85013-3472 | 2020-07-06 |
| 1932748233 | Hayley Klotz | Physician Assistant | 440 N Navajo Dr, Page, AZ 86040-0950 | 2020-01-03 |
| 1285273987 | Jaclyn Marie Schroeder | Physician Assistant | 7649 E Pinnacle Peak Rd Ste 100, Scottsdale, AZ 85255-6296 | 2019-12-27 |
| 1396388062 | Morgan Taylor Beckwith | Physician Assistant | 2128 Senita Dr, Lake Havasu City, AZ 86403-5756 | 2019-10-24 |
| 1023667623 | Halie Furrier | Physician Assistant | 5345 E Gleneagles Dr, Tucson, AZ 85718-1803 | 2019-09-05 |
| 1871155143 | Terry Craven Wood | Physician Assistant | 7645 W Donald Dr, Peoria, AZ 85383-3142 | 2019-07-08 |
| 1720548753 | Alexis D Elliott | Physician Assistant | 2350 Miracle Mile # 600a, Bullhead City, AZ 86442-7505 | 2019-03-25 |
| 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.