DR. ERIC M. PETERS (NPI# 1760619159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760619159 |
| Entity Type | Individual |
| Full Name | DR. ERIC M. PETERS |
| Credential | M.D. |
| Practice Address |
1400 S Dobson Rd Mesa AZ 85202-4707 |
| Mailing Address |
1400 S Dobson Rd Picu Mesa AZ 85202-4707 |
| Practice Telephone | (480) 412-3340 |
| Mailing Telephone | (480) 412-3340 |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14445 Olive View Dr, Sylmar, CA 913421437 | 8183643233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200632 | Eric David Peters | Pathology | 11545 E Quiet Valley Pl, Tucson, AZ 85749-8884 | 2020-09-17 |
| 1912375254 | Eric Joseph Peters Sr. | Substance Abuse Rehabilitation Facility | 629 Wilson Ave, Novato, CA 94947-3823 | 2015-09-03 |
| 1386915882 | Eric R Peters | Pharmacist | 2200 N Hwy A1a, Indialantic, FL 32903-2511 | 2012-01-16 |
| 1245442748 | Eric Drue Peters | Internal Medicine | 601 North 30th Street, Suite 5850, Omaha, NE 68131 | 2007-05-04 |
| 1134100399 | Eric Peters | Podiatrist | 171 E Post Rd, Ste 210-211, White Plains, NY 10601 | 2005-11-07 |
| 1740666551 | Eric Peters | Physical Therapy Assistant | 6499 E Broad St, Columbus, OH 43213-6505 | 2015-08-04 |
| 1225419237 | Eric Peters | Social Worker | 1 Leo Moss Dr, Olean, NY 14760-1156 | 2015-06-16 |
| 1740523059 | Eric Michael Peters | Radiology | 11234 Anderson St, Loma Linda University Medical Center - Radiology, Loma Linda, CA 92354-2804 | 2013-04-04 |
| 1023378171 | Eric M Peters | Dentist | 75 Sherry Ave, Park Falls, WI 54552-1468 | 2012-05-23 |
| 1386959088 | Eric Peters | Pharmacist | 4485 Perkins Rd, Baton Rouge, LA 70808-3034 | 2010-08-18 |
| Street Address |
1400 S DOBSON RD |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102977 | Nabin Sharma | Internal Medicine | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2005-05-23 |
| 1902429012 | Melanie Louise Ryan | Pediatrics | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2020-05-22 |
| 1154951150 | Mistelle Allan | Registered Nurse | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2020-01-19 |
| 1225672785 | Roberta Lee Nixon | Nurse Practitioner | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-10-28 |
| 1831742618 | Misty Villar | Pediatrics | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-07-19 |
| 1407318819 | Jamie Lynn Petersen | Speech-Language Pathologist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-04-03 |
| 1124580691 | Quality Time Anesthesia, Pllc | Anesthesiology | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-04-03 |
| 1477013704 | Amanda Sweig | Physical Therapist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-03-22 |
| 1922587195 | Serena Chonglun Zhou | Pharmacist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2018-08-09 |
| 1144719642 | Samantha Odell Meyerhoff | Emergency Medicine | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2018-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410053 | Sanjhavi Agarwal | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir Apt 2102, Mesa, AZ 85206-3618 | 2020-09-05 |
| 1689287542 | Victoria Lyn Slaven | Student in an Organized Health Care Education/Training Program | 1342 S Revere, Mesa, AZ 85210-5124 | 2020-08-28 |
| 1588276349 | Michael Robert Nango | Student in an Organized Health Care Education/Training Program | 5058 E Greenway St, Mesa, AZ 85205-3472 | 2020-08-21 |
| 1821600701 | Landon Merkley | Student in an Organized Health Care Education/Training Program | 120 1/2 N Wilbur, Mesa, AZ 85201-6736 | 2020-08-20 |
| 1487266524 | Brittany Alexandra Day | Student in an Organized Health Care Education/Training Program | 7325 E Mills St, Mesa, AZ 85207-2043 | 2020-08-19 |
| 1386254795 | Geneal Renee Whetten | Student in an Organized Health Care Education/Training Program | 5064 E Dartmouth Cir, Mesa, AZ 85205-6424 | 2020-08-01 |
| 1144830563 | Kaitlin Anne Benga | Student in an Organized Health Care Education/Training Program | 3060 N Ridgecrest Unit 106, Mesa, AZ 85207-1087 | 2020-08-01 |
| 1154958510 | Karzan Salih | Student in an Organized Health Care Education/Training Program | 445 S Dobson Rd Apt 1034, Mesa, AZ 85202-1827 | 2020-03-25 |
| 1689201170 | Joseph Miller | Student in an Organized Health Care Education/Training Program | 5620 E Alder Ave, Mesa, AZ 85206-1506 | 2020-03-24 |
| 1912534637 | Adam Zoltan Dregely | Student in an Organized Health Care Education/Training Program | 1440 S Clearview Ave Ste 104, Mesa, AZ 85209-3381 | 2020-03-24 |
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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.