MR. PETER DAVID POURZAND (NPI# 1801149836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801149836 |
| Entity Type | Individual |
| Full Name | MR. PETER DAVID POURZAND |
| Credential | CRNP, MBA |
| Practice Address |
1145 Marina Blvd Bullhead City AZ 86442 |
| Mailing Address |
300 W 9th St Frederick MD 21701-4541 |
| Practice Telephone | 9287585905 |
| Mailing Telephone | 6766003310 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2018-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AC001594 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1145 MARINA BLVD |
| City | BULLHEAD CITY |
| State | AZ |
| Zip Code | 86442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225025984 | Mohamed Ibrahim Ramadan | Psychiatry & Neurology | 1145 Marina Blvd, Bullhead City, AZ 86442-5716 | 2005-09-28 |
| 1093179566 | Jennifer Staggs | Social Worker | 1145 Marina Blvd, Bullhead City, AZ 86442-5716 | 2016-04-11 |
| 1104299718 | Rhonda Alsobrook | Counselor | 1145 Marina Blvd, Bullhead City, AZ 86442-5716 | 2015-11-04 |
| 1942411418 | Delorann Cossette | Physician Assistant | 1145 Marina Blvd, Mohave Mental Health Clinic Inc, Bullhead City, AZ 86442 | 2007-05-25 |
| 1790861243 | Mohave Mental Health Clinic Inc | Clinic/Center | 1145 Marina Blvd, Bullhead City, AZ 86442 | 2006-10-27 |
| 1801977244 | Charles Ray Hare | Counselor | 1145 Marina Blvd, Bullhead City, AZ 86442-5716 | 2006-10-18 |
| 1881656486 | Mayte Idelle Giubardo | Social Worker | 1145 Marina Blvd, Mohave Mental Health Clinic Inc, Bullhead City, AZ 86442 | 2006-04-06 |
| 1477537942 | Juan Carlos Pequeno | Psychiatry & Neurology | 1145 Marina Blvd, Mohave Mental Health Clinic Inc, Bullhead City, AZ 86442-5716 | 2005-11-30 |
| 1508855453 | Cynthia Elaine Mcclurg | Counselor | 1145 Marina Blvd, Bullhead City, AZ 86442-5716 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869039 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1160 Agate Rd, Bullhead City, AZ 86442 | 2020-04-13 |
| 1710544895 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1665 Rainbow Dr Ste 7, Bullhead City, AZ 86442 | 2019-05-23 |
| 1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
| 1225508757 | Desert Springs Urgent Care, PC | Clinic/Center | 3706 Highway 95 Ste 1, Bullhead City, AZ 86442 | 2018-11-27 |
| 1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
| 1255819736 | Phoenix Cancer and Blodd Disorder Treatment Institute | Internal Medicine | 967 Hancock Rd 133, Bullhead City, AZ 86442 | 2018-08-06 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1396297123 | Henry Sy | Pharmacist | 2360 Az-95, Bullhead, AZ 86442 | 2016-10-27 |
| 1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
| Find all providers in zip 86442 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386159440 | Marie Bridget Moran | Nurse Practitioner | 251 Moser Ave Unit 207, Bullhead City, AZ 86429 | 2017-12-11 |
| 1336669191 | Argie Jamaica G Rivera | Nurse Practitioner | 2580 Hway 95 Ste 209, Bullhead City, AZ 86442-7330 | 2017-06-22 |
| 1487026761 | Carolyn Michele Norton | Nurse Practitioner | 2580 Hway 95, Suite 209, Bullhead City, AZ 86442-7491 | 2015-10-26 |
| 1316371586 | Ryan Dan Bingham | Nurse Practitioner | 2580 Highway 95 Ste 119, Bullhead City, AZ 86442-7328 | 2013-08-23 |
| 1437468840 | Kelleen Stiles | Nurse Practitioner | 1145 Marina Blvd., Bullhead City, AZ 86442 | 2010-10-03 |
| 1487728770 | Amy G Barnard | Nurse Practitioner | 2580 Hway 95 Ste 120, Bullhead City, AZ 86442-7328 | 2006-11-20 |
| 1417488347 | Laura Lavinia Cardwell | Nurse Practitioner | 809 Hancock Rd Ste 1, Bullhead City, AZ 86442-5078 | 2017-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608447 | Courtney Tafoya | Nurse Practitioner | 544 S 172nd Ave, Goodyear, AZ 85338-1281 | 2020-10-26 |
| 1215536479 | Yolanda D Baugh | Nurse Practitioner | 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 | 2020-10-20 |
| 1871191593 | Lisa E Legg | Nurse Practitioner | 1480 E Pecos Rd Apt 3107, Gilbert, AZ 85295-1851 | 2020-10-14 |
| 1619584406 | Preston Strebeck | Nurse Practitioner | 3733 E Meadow Mist Ln, San Tan Valley, AZ 85140-5374 | 2020-09-25 |
| 1336754332 | Yvonne Maese | Nurse Practitioner | 824 N 99th Ave Ste 107-108, Avondale, AZ 85323-5324 | 2020-09-15 |
| 1306450960 | Williamsconsultant Com LLC | Nurse Practitioner | 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 | 2020-09-01 |
| 1215549274 | Maria Graciela Cornejo | Nurse Practitioner | 3421 S Loback Ln, Gilbert, AZ 85297-7913 | 2020-08-20 |
| 1013529155 | Mark Skousen | Nurse Practitioner | 1745 W Western Dove Dr, Snowflake, AZ 85937-6185 | 2020-08-19 |
| 1356953699 | Rebecca Jane Turley | Nurse Practitioner | 1681 S Villas Ln, Chandler, AZ 85286-6805 | 2020-08-18 |
| 1467064063 | Dylan O'keefe Carey | Nurse Practitioner | 11702 W Fordson Dr, Marana, AZ 85653-7715 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | BULLHEAD CITY |
| Zip Code | 86442 |
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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.