CRAIG MICHAEL PETERS


Address: 1215 N Beaver St, Heart & Vascular Center of Northern Arizona, Flagstaff, AZ 86001-3118
Phone: 9287732200

CRAIG MICHAEL PETERS (NPI# 1023167384) 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) 1023167384
Entity Type Individual
Full Name CRAIG MICHAEL PETERS
Credential DO
Practice Address 1215 N Beaver St
Heart & Vascular Center of Northern Arizona
Flagstaff
AZ 86001-3118
Mailing Address 1200 N Beaver St
Payer Credentialing
Flagstaff
AZ 86001-3118
Practice Telephone 9287732200
Practice Fax Number 9287732201
Mailing Telephone 9287732559
Mailing Fax Number 9282136292
Enumeration Date 2007-01-09
Last Update Date 2015-10-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
4577 AZ Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
34.009548 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 210080 05

Other Providers CRAIG PETERS

NPI Name Taxonomy Address Enumeration
1720157365 Craig Andrew Peters Urology 2350 N. Stemmons Freeway, Suite F4300, Dallas, TX 75207 2006-11-07
1659538924 Craig Michael Peters Counselor 280 Broad St Ste E, Kernersville, NC 27284-2948 2008-05-22
1851486138 Craig G Peters Internal Medicine 3280 Howell Mill Rd Nw Ste 150, Atlanta, GA 30327 2006-10-04
1154337111 Craig Peters Physical Therapist 47 Haven Ridge Ct, Columbia, SC 29212-2881 2006-07-31
1760410096 Craig J Peters Physical Therapist 8677 N Port Washington Rd, Milwaukee, WI 53217 2006-06-28

Office Location

Street Address 1215 N BEAVER ST
HEART & VASCULAR CENTER OF NORTHERN ARIZONA
City FLAGSTAFF
State AZ
Zip Code 86001-3118

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902802192 Mark E Donnelly Specialist 1215 N Beaver St, Ste 202, Flagstaff, AZ 86001-3126 2005-06-22
1194227918 Holly Offerman Speech-Language Pathologist 1215 N Beaver St, Flagstaff, AZ 86001-3126 2018-03-07
1588118111 Nathan Alan Moss Nurse Practitioner 1215 N Beaver St, Flagstaff, AZ 86001-3126 2016-08-11
1598113672 Mark Weststeyn Physical Therapist 1215 N Beaver St, Flagstaff, AZ 86001-3126 2016-05-30
1063839009 Angela Hansen Dietitian, Registered 1215 N Beaver St, Flagstaff, AZ 86001-3126 2014-03-27
1568887891 Dore Davidson Speech-Language Pathologist 1215 N Beaver St, Flagstaff, AZ 86001 2014-02-24
1821437500 Diane Margaret Van Cornewal Counselor 1215 N Beaver St, Flagstaff Medical Center, Flagstaff, AZ 86001-3126 2013-06-17
1992064927 Northern Arizona Healthcare Provider Group, LLC Internal Medicine 1215 N Beaver St, Flagstaff, AZ 86001-3126 2012-05-11
1619120847 Nicole Sasser Speech-Language Pathologist 1215 N Beaver St, Flagstaff, AZ 86001-3126 2008-10-31
1477706281 Cintamani H. Ellsworth Speech-Language Pathologist 1215 N Beaver St, Flagstaff, AZ 86001-3126 2008-10-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427658756 Marlenne Adair Escobar-mendoza Specialist/Technologist 1705 South San Francisco Street, Flagstaff, AZ 86001 2020-10-27
1962033712 Laura-lee Prescott Social Worker Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 2020-01-30
1194360784 Trinity Medical Consultants Pllc Internal Medicine 1521 N Cliff Drive, Flagstaff, AZ 86001 2019-11-07
1154849610 Altacare, LLC Family Medicine 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 2017-09-05
1487174926 Lindsey Marie Forstie Nurse Practitioner 7263 E Dreamview Trail, Flagstaff, AZ 86001 2017-06-26
1255860763 Welbrook Senior Living Flagstaff LLC Skilled Nursing Facility 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 2017-06-08
1912432675 Ryan Tiscareno Specialist/Technologist 621 West Cherry Ave, Flagstaff, AZ 86001 2017-05-01
1629432380 Behavioral Consultation Services, Inc. Clinic/Center 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 2016-04-08
1275920928 Junli Gallagher Speech-Language Pathologist 1215 N. Beaver St, Flagstaff, AZ 86001 2015-04-21
1932592599 Kristen Flugstad Psyd, LLC Psychologist 125 East Elm Avenue #203, Flagstaff, AZ 86001 2015-03-06
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629220009 Flagstaff Medical Center Internal Medicine 1215 N Beaver St Ste 203, Flagstaff, AZ 86001-3126 2008-10-16
1447334784 Robert A Mackin Internal Medicine 823 North Beaver Street, Flagstaff, AZ 86001 2006-10-24
1447295324 Mohan Reddi Nandalur Internal Medicine 1215 N Beaver Street, Heart & Vascular Center of Northern Arizona, Flagstaff, AZ 86001-3118 2006-06-17
1851396105 John Howley Internal Medicine 1330 N Rim Dr, Ste B, Flagstaff, AZ 86001-3138 2005-06-14
1992064927 Northern Arizona Healthcare Provider Group, LLC Internal Medicine 1215 N Beaver St, Flagstaff, AZ 86001-3126 2012-05-11
1306009519 Mountain Heart Medical Practice Pllc Internal Medicine 2000 S Thompson St, Flagstaff, AZ 86001-8759 2008-07-08
1982871067 Flagstaff Medical Center Internal Medicine 1200 N Beaver St, Flagstaff, AZ 86001-3118 2008-05-08
1730372343 John W. Howley, Md PC Internal Medicine 1330 N Rim Dr, Ste B, Flagstaff, AZ 86001-3134 2007-08-27
1326265893 Omar Rashid Wani Internal Medicine 2000 S Thompson St, Flagstaff, AZ 86001 2007-04-19
1639242720 David M Leder Internal Medicine 2000 S Thompson St, Flagstaff, AZ 86001 2006-11-16
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Competitor

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City FLAGSTAFF
Zip Code 86001

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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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