DR. MARC A PETEIN


Address: 13634 N 93rd Ave, Suite 300, Peoria, AZ 85381-4915
Phone: 6238152484

DR. MARC A PETEIN (NPI# 1134121825) 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) 1134121825
Entity Type Individual
Full Name DR. MARC A PETEIN
Credential M.D.
Practice Address 13634 N 93rd Ave
Suite 300
Peoria
AZ 85381-4915
Practice Telephone 6238152484
Practice Fax Number 6238152483
Mailing Telephone 6238152484
Mailing Fax Number 6238152483
Enumeration Date 2005-08-11
Last Update Date 2014-03-10
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
15534 AZ Allopathic & Osteopathic Physicians
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
15534 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ 260464 05

Office Location

Street Address 13634 N 93RD AVE
SUITE 300
City PEORIA
State AZ
Zip Code 85381-4915

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932731189 Crysta Silas Nurse Practitioner 13634 N 93rd Ave, Peoria, AZ 85381-4914 2020-02-05
1053783340 Alyssa Mae Tyler Physician Assistant 13634 N 93rd Ave, Suite 300, Peoria, AZ 85381-4914 2015-10-26
1235522020 Amanda Janel Hasl Nurse Practitioner 13634 N 93rd Ave, Suite 300, Peoria, AZ 85381-4914 2015-03-18
1346678869 Dr. Arlene D. Conte, P.C. Family Medicine 13634 N 93rd Ave, Suite 200, Peoria, AZ 85381-4914 2013-10-18
1730447830 David Castillo Nurse Practitioner 13634 N 93rd Ave, 300, Peoria, AZ 85381-4914 2012-04-25
1508014648 Valley Internal Medicine Associates, Pllc Internal Medicine 13634 N 93rd Ave, Ste 200, Peoria, AZ 85381 2008-09-03
1659529816 Nagaraju Veeramachaneni, M.d.p.c Internal Medicine 13634 N 93rd Ave, Ste 200, Peoria, AZ 85381-4914 2008-08-29
1851479380 Brian Harris Perlmutter Internal Medicine 13634 N 93rd Ave, Suite 300, Peoria, AZ 85381-4915 2006-11-01
1730294844 Jagdish B Patel Specialist 13634 N 93rd Ave, Ste 200, Peoria, AZ 85381-4914 2006-08-20
1386656049 Shahid Yakoob Specialist 13634 N 93rd Ave, #100, Peoria, AZ 85381 2006-08-12
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Providers in the same zip code

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
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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
1558553016 Ashim Aggarwal Internal Medicine 13634 N 93rd Ave Ste 300, Peoria, AZ 85381 2007-08-17
1174672331 Thanad S Shay Internal Medicine 1201 N North St, Peoria, IL 61606-1533 2007-01-09
1568558492 Barry Rosen Internal Medicine 28685 N. 129th Ave, Peoria, AZ 85383 2006-10-05
1265535116 Frank Gold Internal Medicine 112 Crescent Avenue, Peoria, IL 61603 2006-09-06
1912929118 Alexander Adler Internal Medicine 112 Ne Crescent, 2nd Floor, Peoria, IL 61603 2006-07-24
1588691877 Joseph J Sarmiento IIi Internal Medicine 5405 North Knoxville Avenue, Peoria, IL 61614 2006-06-26
1265407399 Cardiac Consultants Sc Internal Medicine 900 Main Street, Suite 320, Peoria, IL 61602 2006-02-22
1649268723 Gabor S Jilly Internal Medicine 13128 N 94th Dr, No 100, Peoria, AZ 85381-4252 2005-10-12
1003804170 Manoj Rawal Internal Medicine 13460 N 94th Drive, Ste J-1, Peoria, AZ 85381-4246 2005-10-12
1215933957 Jeffrey M Greenberg Internal Medicine 13460 N 94th Dr Ste J1, Peoria, AZ 85381-4246 2005-06-27
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Competitor

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City PEORIA
Zip Code 85381

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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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