DR. PETER DAVID REAVEN (NPI# 1316977721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316977721 |
| Entity Type | Individual |
| Full Name | DR. PETER DAVID REAVEN |
| Credential | M.D. |
| Practice Address |
650 E. Indian School Rd. Phoenix AZ 85012 |
| Mailing Address |
10852 N 53rd St Scottsdale AZ 85254-4771 |
| Practice Telephone | 4803680926 |
| Mailing Telephone | 4803680926 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
G57076 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
650 E. INDIAN SCHOOL RD. |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932303740 | Tracy Westlake | Psychiatry & Neurology | 650 E. Indian School Rd., Phoenix, AZ 85012 | 2007-06-14 |
| 1922192566 | Eva Glenn Fowler | Pharmacist | 650 E. Indian School Rd., Phoenix, AZ 85012-1892 | 2006-10-03 |
| 1104922780 | Alma E Celaya | Nurse Practitioner | 650 E. Indian School Rd., Phoenix, AZ 85012-1839 | 2006-09-15 |
| 1558390260 | Arthur L Soben | Urology | 650 E. Indian School Rd., Dept. of Surgery/urology, Cs 112, Phoenix, AZ 85012-1892 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770146466 | Arkangel Endocrinology & Diabetes | Internal Medicine | 1661 E Camelback Rd Ste 235, Phoenix, AZ 85016-3983 | 2019-04-17 |
| 1528249661 | Kevin Choong Ji Yuen | Internal Medicine | 124 W Thomas Rd Ste 300, Phoenix, AZ 85013 | 2007-11-16 |
| 1538388046 | Sherman Mitchell Harman | Internal Medicine | 2390 E Camelback Rd, Suite 440, Phoenix, AZ 85016-3448 | 2007-04-24 |
| 1619091212 | Murugasu Nagul | Internal Medicine | 1010 East Mcdowell Road, Suite 203, Phoenix, AZ 85006 | 2007-03-19 |
| 1154348886 | Endocrinology Assoc | Internal Medicine | 3522 N 3rd Ave, Phoenix, AZ 85013 | 2006-07-17 |
| 1982639498 | Jayanthi Suppiah | Internal Medicine | 9150 W Indian School Rd Ste 118, Phoenix, AZ 85037-2387 | 2006-07-12 |
| 1538192703 | Sathya G Jyothinagaram | Internal Medicine | 925 E Mcdowell Rd Fl 3, Phoenix, AZ 85006-2502 | 2006-07-09 |
| 1154370757 | Cristian E Sciutto | Internal Medicine | 1007 N 2nd Ave, Phoenix, AZ 85003-1414 | 2006-05-09 |
| 1699753525 | Ronald Cirullo | Internal Medicine | 25500 N Norterra Dr, Phoenix, AZ 85085 | 2005-12-30 |
| 1184615023 | Joan Frances Bailey | Internal Medicine | 2200 N 3rd St, Phoenix, AZ 85004-1401 | 2005-10-31 |
| Find all providers in PHOENIX | ||||
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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.