Blake J Peterson (NPI# 1689027054, PAC ID# 9739469701) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1689027054 |
| PAC ID by PECOS | 9739469701 |
| Professional Enrollment ID | I20190828001059 |
| Full Name | Blake J Peterson |
| Organization Legal Name | J TODD COX PLLC |
| Address |
919 12th Pl Suite 10 Prescott AZ 86305-1433 |
| Phone Number | 9284454898 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1658661319 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030012 | YAVAPAI REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 919 12th Pl, Suite 10, Prescott, AZ 86305-1433 | 9284454898 | J TODD COX PLLC |
| Organization Legal Name | J TODD COX PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John T Cox | Podiatry | J Todd Cox Pllc | 919 12th Pl, Suite 10, Prescott, AZ 86305-1433 |
| Kent Lee Peterson | Podiatry | J Todd Cox Pllc | 919 12th Pl, Suite 10, Prescott, AZ 86305-1433 |
| Street Address |
919 12TH PL SUITE 10 |
| City | PRESCOTT |
| State | AZ |
| Zip | 86305-1433 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John T Cox | Podiatry | J Todd Cox Pllc | 919 12th Pl, Suite 10, Prescott, AZ 86305-1433 |
| Jeffrey T Osburn | Obstetrics/gynecology | Pwc II | 919 12th Pl, Suite 1, Prescott, AZ 86305-1433 |
| Richard M Ohanesian | Obstetrics/gynecology | Pwc II | 919 12th Pl, Suite 1, Prescott, AZ 86305-1433 |
| Kent Lee Peterson | Podiatry | J Todd Cox Pllc | 919 12th Pl, Suite 10, Prescott, AZ 86305-1433 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheila Kaye Busch | Nurse Practitioner | 1672 Oaklawn Dr, Prescott, AZ 86305-1106 | |
| Brian A Artzberger | Family Practice | Brian A. Artzberger Do PC | 1672 Oaklawn Dr, Prescott, AZ 86305-1106 |
| Jennifer L Slocum Waara | Family Practice | Waara Family Medicine, LLC | 1672 Oaklawn Dr, Prescott, AZ 86305-1106 |
| Andrew J Nelson Iii | Chiropractic | 936 12th Pl, Prescott, AZ 86305-1401 | |
| Richard Allen Cirelli | Dermatology | 955 Black Dr, Suite A, Prescott, AZ 86305-1403 | |
| John Brit Haws | Physical Therapy | Peterson Pt LLC | 1320 W Iron Springs Rd, Prescott, AZ 86305-1414 |
| Brek L Peterson | Physical Therapy | Peterson Pt LLC | 1320 W Iron Springs Rd, Prescott, AZ 86305-1414 |
| Janis J Bowers | Nurse Practitioner | Melinda M Martin Md Pllc | 907 Ainsworth Dr, Prescott, AZ 86305-1607 |
| Brandie R Clark | Nurse Practitioner | Melinda M Martin Md Pllc | 907 Ainsworth Dr, Prescott, AZ 86305-1607 |
| Melinda M Martin | Obstetrics/gynecology | Melinda M Martin Md Pllc | 907 Ainsworth Dr, Prescott, AZ 86305-1607 |
| Find all physicians in zip 86305 | |||
| City | PRESCOTT |
| Zip Code | 86305 |
| Specialty | PODIATRY |
| City + Specialty | PRESCOTT + PODIATRY |
Please comment or provide details below to improve the information on Blake J Peterson.
| 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.