DR. TIMOTHY JOHN PETERSON (NPI# 1194862433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194862433 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JOHN PETERSON |
| Credential | M.D. |
| Practice Address |
3141 N 3rd Ave Suite 100 Phoenix AZ 85013-4351 |
| Mailing Address |
2540 N Avenida Sorgo Tucson AZ 85749-8113 |
| Practice Telephone | 6023315174 |
| Practice Fax Number | 6027457950 |
| Mailing Telephone | 5207608895 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 22229 | MN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 20764 | WI | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 15942 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023178738 | Timothy Lee Peterson | Pharmacist | 1010 Enterprise Dr E, Belle Plaine, MN 56011-2340 | 2006-12-11 |
| 1992887376 | Timothy K. Peterson | Physician Assistant | 2891 E Grant St, Roma, TX 78584 | 2006-10-19 |
| 1609956481 | Timothy John Peterson | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-10-16 |
| 1528041886 | Timothy D Peterson | Emergency Medicine | 108 Sutton Place, Taos Ski Valley, NM 87525-0067 | 2005-11-21 |
| 1265049043 | Timothy Charles Peterson | Pharmacist | 1400 E 2nd St, Edmond, OK 73034-5321 | 2020-09-25 |
| 1740742725 | Timothy Scott Peterson | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-04-01 |
| 1497259360 | Timothy James Peterson | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2018-03-23 |
| 1992189328 | Timothy James Peterson | Counselor | 12025 115th Ave Ne, Bldg D Suite 200, Kirkland, WA 98034-6942 | 2015-07-15 |
| 1730518044 | Timothy Terrence Peterson | Pharmacist | 4500 Commercial St Se, Salem, OR 97302-3918 | 2013-11-06 |
| 1922362490 | Timothy Peterson | Family Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2012-06-29 |
| Street Address |
3141 N 3RD AVE SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85013-4351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006261 | Brenda Lue Sipes | Pediatrics | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2005-07-11 |
| 1609414481 | Emily Wirdzek | Physical Therapist | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2019-12-12 |
| 1235793118 | Harlyn V. Chacon | Social Worker | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2019-04-26 |
| 1942794920 | Nicholas Andrew Tanner | Psychologist | 3141 N 3rd Ave, Phoenix, AZ 85013 | 2018-06-21 |
| 1225520760 | Olga Elena Fernandez-pereyra | Speech-Language Pathologist | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2018-05-31 |
| 1013427517 | Dominica Wilhemina Dieffenbach | Dietitian, Registered | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2017-10-10 |
| 1457860694 | Jennifer Lee Jaeckel | Social Worker | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2017-09-20 |
| 1518413012 | Margarita Romero | Dietitian, Registered | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2016-08-25 |
| 1871945097 | Courtney L. Ginter | Physical Therapist | 3141 N 3rd Ave, Phoenix, AZ 85013-4360 | 2016-07-12 |
| 1013362326 | Lauren M Zimmerman | Speech-Language Pathologist | 3141 N 3rd Ave, Phoenix, AZ 85013 | 2016-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833700 | Marco Antonio Valdez Espinoza | Student in an Organized Health Care Education/Training Program | 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 | 2020-05-28 |
| 1518588292 | Santiago Garcia Ortiz | Student in an Organized Health Care Education/Training Program | 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 | 2020-05-04 |
| 1356811970 | Lynne Shaunte Coleman | Nurse Practitioner | 3633 N 3rd Ave 2019, Phoenix, AZ 85013 | 2018-11-26 |
| 1467949156 | Solterra 3rd Indian School Operations, LLC | Assisted Living Facility | 4000 N 3rd Avenue, Phoenix, AZ 85013 | 2018-04-18 |
| 1083018345 | Romelda Antonio | Nurse Practitioner | 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 | 2014-10-15 |
| 1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
| 1902218480 | Sreeja Biswas Roy | Internal Medicine | 350 W Thomas Road, Phoenix, AZ 85013 | 2014-06-02 |
| 1417381120 | Osama Qasim Agha | Internal Medicine | 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 | 2013-08-29 |
| 1245679604 | Oculist Exceptional Eyewear Pllc | Optometrist | 5043-b N 7th Ave, Phoenix, AZ 85013 | 2013-06-19 |
| 1760829352 | Gina Wilding | Nurse Practitioner | 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 | 2013-05-23 |
| Find all providers in zip 85013 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339200 | Madison Le | Family Medicine | 3037 W Cat Balue Dr, Phoenix, AZ 85027-2342 | 2020-09-04 |
| 1720604069 | Good Health Medical, PC | Family Medicine | 2632 S 83rd Ave Ste 113, Phoenix, AZ 85043-7206 | 2020-06-23 |
| 1427670751 | Florence Wellness Pllc | Family Medicine | 101 E Washington St Fl 7, Phoenix, AZ 85004-2450 | 2020-05-08 |
| 1437782257 | Jillian Knapp | Family Medicine | 521 W Butler Dr, Phoenix, AZ 85021-4526 | 2020-02-20 |
| 1861033912 | Vanessa Lissette Lara | Family Medicine | 1459 E Flower St, Phoenix, AZ 85014-5666 | 2019-09-30 |
| 1366007411 | Marceline E Ndum | Family Medicine | 10631 S. 51st Street, Suite 1, Phoenix, AZ 85044-5225 | 2019-05-03 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1326510389 | Leanne J Muniz | Family Medicine | 19635 N Cave Creek Rd Apt 344, Phoenix, AZ 85024-1879 | 2018-12-31 |
| 1164905535 | Clark Medical, Pllc | Family Medicine | 2601 N 3rd St Ste 106, Phoenix, AZ 85004-1144 | 2018-09-12 |
| 1780180901 | Babymoon Inn Family Care LLC | Family Medicine | 202 E Morris Dr, Phoenix, AZ 85012-2323 | 2018-04-05 |
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| 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.