Paul M Petelin Jr. (NPI# 1245328871, PAC ID# 4789679614) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1245328871 |
| PAC ID by PECOS | 4789679614 |
| Professional Enrollment ID | I20141111002075 |
| Full Name | Paul M Petelin Jr. |
| Organization Legal Name | SCOTTSDALE CENTER FOR SIGHT, PLC |
| Address |
14275 N 87th St Suite 112 Scottsdale AZ 85260-3696 |
| Phone Number | 4804838882 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6305829789 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2222 E Camelback Rd, Suite 260, Phoenix, AZ 85016-3427 | 6028403501 | NATIONWIDE VISION CENTER, LLC |
| 14275 N 87th St, Suite 112, Scottsdale, AZ 85260-3696 | 4804838882 | SCOTTSDALE CENTER FOR SIGHT, PLC |
| Organization Legal Name | SCOTTSDALE CENTER FOR SIGHT, PLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stanley R Shorb | Ophthalmology | Scottsdale Center for Sight, Plc | 14275 N 87th St, Suite 112, Scottsdale, AZ 85260-3696 |
| Street Address |
14275 N 87TH ST SUITE 112 |
| City | SCOTTSDALE |
| State | AZ |
| Zip | 85260-3696 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stanley R Shorb | Ophthalmology | Scottsdale Center for Sight, Plc | 14275 N 87th St, Suite 112, Scottsdale, AZ 85260-3696 |
| Ryan Andrew Stevens | Dermatology | Center for Dermatology PC | 14275 N 87th St, Suite 110, Scottsdale, AZ 85260-3696 |
| Reena D Jain | Physician Assistant | Center for Dermatology PC | 14275 N 87th St, Suite 110, Scottsdale, AZ 85260-3696 |
| Whitney Marie Adelman | Nurse Practitioner | Center for Dermatology PC | 14275 N 87th St, Suite 110, Scottsdale, AZ 85260-3696 |
| Seth M Goodman | Dermatology | Center for Dermatology PC | 14275 N 87th St, Suite 110, Scottsdale, AZ 85260-3696 |
| Lorna J Fredrikson | Dermatology | Center for Dermatology PC | 14275 N 87th St, Suite 110, Scottsdale, AZ 85260-3696 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita E Fisler | Dermatology | Advanced Dermatology of Arizona PC | 8817 E Bell Rd, Suite 101, Scottsdale, AZ 85260-0001 |
| Mark R Gorman | Podiatry | 15425 N Greenway Hayden Loop, Suite A300, Scottsdale, AZ 85260-1204 | |
| Christopher W Serafini | Chiropractic | 15425 N Greenway Hayden Loop, Suite A200, Scottsdale, AZ 85260-1239 | |
| Suzanne M Matsumoto | Physical Therapy | Shelley Mcclellan Pt Pllc | 15425 N Greenway Hayden Loop, Suite A250, Scottsdale, AZ 85260-1241 |
| Blair Smith | Physical Therapy | Shelley Mcclellan Pt Pllc | 15425 N Greenway Hayden Loop, Suite A250, Scottsdale, AZ 85260-1241 |
| Shelley A Mcclellan | Physical Therapy | Shelley Mcclellan Pt Pllc | 15425 N Greenway Hayden Loop, Suite A250, Scottsdale, AZ 85260-1241 |
| Malorie J Tardiff | Physical Therapy | Shelley Mcclellan Pt Pllc | 15425 N Greenway Hayden Loop, Suite A250, Scottsdale, AZ 85260-1241 |
| Nicole M Armbrust | Physical Therapy | Shelley Mcclellan Pt Pllc | 15425 N Greenway Hayden Loop, Suite A250, Scottsdale, AZ 85260-1241 |
| Drake D Duane | Neurology | 8585 E Bell Rd, Suite 101, Scottsdale, AZ 85260-1303 | |
| Lewis A Andres | Plastic and Reconstructive Surgery | 8595 E Bell Rd, Suite 103, Scottsdale, AZ 85260-1306 | |
| Find all physicians in zip 85260 | |||
| City | SCOTTSDALE |
| Zip Code | 85260 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | SCOTTSDALE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Paul M Petelin Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.