STEPHEN LYNN PETERSON II


Address: 1350 S Ellsworth Rd Apt 1122, Mesa, AZ 85209-2809
Phone: 4803268100

STEPHEN LYNN PETERSON II (NPI# 1821562885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821562885
Entity Type Individual
Full Name STEPHEN LYNN PETERSON II
Practice Address 1350 S Ellsworth Rd Apt 1122
Mesa
AZ 85209-2809
Practice Telephone 4803268100
Enumeration Date 2019-01-13
Last Update Date 2019-09-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 227900000X Respiratory Therapist, Registered 005988 AZ Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 332B00000X Durable Medical Equipment & Medical Supplies 1945208 AZ Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
AZ AHCCCS 480036 01

Other Providers STEPHEN PETERSON

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1992897771 Stephen Dexter Peterson General Practice 185 E. 7th Ave., Suite D, Chico, CA 95926 2006-09-29
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1720693617 Stephen Peterson Physical Therapist 3390 Saxonburg Blvd Ste 250, Glenshaw, PA 15116-3160 2020-09-09
1548659451 Stephen Peterson Physical Therapist 746 S Main Ave, Fallbrook, CA 92028-3333 2015-01-15
1801137377 Stephen Eugene Peterson Psychiatry & Neurology 428 W 42nd St, Kansas City, MO 64111-3176 2013-03-08
1891964706 Stephen Peterson Case Manager/Care Coordinator 2650 W Broadway, Louisville, KY 40211-1333 2008-02-25
1629127915 Stephen P Peterson Family Medicine 146 E Geneva Sq, Lake Geneva, WI 53147-9694 2007-01-09

Office Location

Street Address 1350 S ELLSWORTH RD APT 1122
City MESA
State AZ
Zip Code 85209-2809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467006635 Arizona Breathe Right LLC Durable Medical Equipment & Medical Supplies 1350 S Ellsworth Rd Apt 1122, Mesa, AZ 85209-2809 2019-07-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013539568 Wingfoot Wellness & Hormones LLC Nurse Practitioner 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 2020-05-07
1558916247 Shiny Susan Thomas Family Medicine 7615,east Baseline Road, Mesa, AZ 85209 2019-08-08
1245798933 Premier Care Medical Services Pllc Clinic/Center 7363 E Naranja Ave, Mesa, AZ 85209 2019-03-12
1518450568 Mhb Services Internal Medicine 1301 S Crismon Road, Mesa, AZ 85209 2018-06-13
1174012934 Andrew Swenson Student in an Organized Health Care Education/Training Program 10238 E. Hampton #406, Mesa, AZ 85209 2018-05-08
1689196057 Monica R Meyer Registered Nurse 2424 S Rowen, Mesa, AZ 85209 2017-07-07
1629507041 Rachel Ann Navarro Occupational Therapist 10431 E Natal Ave, Mesa, AZ 85209 2017-06-08
1073041331 Michelle Resendez Nurse Practitioner 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 2017-05-31
1275069569 Michelle Amado Nurse Practitioner 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 2017-05-04
1982138079 Warren Brent Thomas Nurse Anesthetist, Certified Registered 10632 E Kiva Ave, Mesa, AZ 85209 2017-04-14
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Taxonomy Information

Taxonomy Code 227900000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Respiratory Therapist, Registered

Taxonomy Definition

A Registered Respiratory Therapist (RRT) is an advanced therapist who has passed standardized written and clinical simulation examinations administered by the National Board for Respiratory Care (NBRC). In addition, to the certified therapist (CRT) entry level skills, RRTs have advanced education and training in patient assessment, in the development and modification of patient care plans, and in assuring the appropriate utilization of respiratory care resources. An RRT is a graduate of an associate or baccalaureate degree producing educational programs approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of that license.

Providers in the same taxonomy and state

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
1407466907 John Louis Hawk Respiratory Therapist, Registered 3451 S Mercy Rd Ste 102, Gilbert, AZ 85297-0206 2020-08-09
1528682846 Melissa Schuch Respiratory Therapist, Registered Corner of Routes 12&7 #649, Fort Defiance, AZ 86504-0589 2020-06-02
1861015117 Luis Castro Respiratory Therapist, Registered Corner Or Route N12 and N7, Fort Defiance, AZ 86504-0589 2020-05-21
1477176931 Alfredo Ayo Bantug Jr. Respiratory Therapist, Registered Fort Defiance Hosp[ital, Fort Defiance Indian Hospital, Fort Defiance, AZ 86504-3166 2020-05-19
1750904207 Crystal Salaz Respiratory Therapist, Registered Corner of Roue N12 and N7, Fort Defiance, AZ 86504 2020-05-19
1285282855 Breathe Easy Medical Solutions LLC. Respiratory Therapist, Registered 18490 W Louise Dr, Surprise, AZ 85387-1470 2019-08-28
1134614076 Jenna Rose Wade Respiratory Therapist, Registered 213 E Calle Zafiro, Tucson, AZ 85704-6629 2018-06-23
1700384864 John Durham Respiratory Therapist, Registered 5061 W Kingbird St, Tucson, AZ 85742-5116 2018-01-24
1285168088 Young Nickels Respiratory Therapist, Registered 7824 E Jack Oak Rd, Tucson, AZ 85756-6110 2017-04-18
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Competitor

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City MESA
Zip Code 85209

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Dataset Information

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.

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