PEORIA PHYSICIAN GROUP (NPI# 1124649637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124649637 |
| Entity Type | Organization |
| Organization Name | PEORIA PHYSICIAN GROUP |
| Practice Address |
13760 N 93rd Ave Ste 105 Peoria AZ 85381-4260 |
| Mailing Address |
Po Box 964 Gilbert AZ 85299-0964 |
| Practice Telephone | 4808096589 |
| Mailing Telephone | 4803664489 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Authorized Official Name | JEREMIAH FABER (CEO) |
| Authorized Official Telephone | 4802583635 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
13760 N 93RD AVE STE 105 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867488 | Infinity Pain Relief, LLC | General Practice | 8715 W Union Hills Dr Ste 109, Peoria, AZ 85382-3031 | 2020-07-05 |
| 1912367582 | Perfectbalance Md Sc | General Practice | 7720 N Grand Prairie Dr, Peoria, IL 61615-9242 | 2016-02-25 |
| 1285012666 | Joshua James Johnson | General Practice | 9401 W Thunderbird Rd Ste 155, Peoria, AZ 85381-4238 | 2015-05-18 |
| 1295131712 | Integra Home Doctors, Inc. | General Practice | 16165 N 83rd Ave, Suite 200, Peoria, AZ 85382-5816 | 2014-11-11 |
| 1922449172 | Chinenye Chioma Anako | General Practice | 611 W Glen Ave Apt B, Peoria, IL 61614-4874 | 2013-07-16 |
| 1366049025 | Cactus Pain Relief, LLC | General Practice | 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382-9747 | 2020-10-06 |
| 1477199701 | Cactus Pain Solutions, LLC | General Practice | 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382-9747 | 2019-11-21 |
| 1710487905 | Cactus Medical Center LLC | General Practice | 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382-9747 | 2018-02-14 |
| 1861836991 | David Kindred Integerated Medicine PC | General Practice | 2806 N Knoxville Ave, Peoria, IL 61604-2870 | 2013-04-19 |
| 1639443757 | Vital4men LLC | General Practice | 7707 W Deer Valley Rd, 115, Peoria, AZ 85382-2101 | 2012-03-07 |
| Find all providers in PEORIA | ||||
Please comment or provide details below to improve the information on PEORIA PHYSICIAN GROUP.
| 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.