MR. MICHAEL D PETERIK PA
NPI 1720004245
Physician Assistant in Phoenix, AZ

NPI Status: Active since July 15, 2006

Contact Information

4550 E BELL RD
SUITE 170
PHOENIX, AZ
ZIP 85032
Phone: (480) 443-8400
Fax: (480) 443-8697

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  • Individual
  • Male
  • Physician Assistant

About MICHAEL PETERIK

This page provides the complete NPI Profile along with additional information for Michael Peterik, a primary care provider established in Phoenix, Arizona with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1720004245 assigned on July 2006. The practitioner's primary taxonomy code is 363A00000X with license number 3397 (AZ). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1720004245
Provider Name
MR. MICHAEL D PETERIK PA
Gender
Male
Entity Type
Individual
Location Address
4550 E BELL RD SUITE 170 PHOENIX, AZ 85032
Location Phone
(480) 443-8400
Location Fax
(480) 443-8697
Mailing Address
4550 E BELL RD SUITE 170 PHOENIX, AZ 85032
Mailing Phone
(480) 443-8400
Mailing Fax
(480) 443-8697
Is Sole Proprietor?
No
Enumeration Date
07-15-2006
Last Update Date
04-16-2013
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A primary care provider (PCP) like Michael Peterik sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
3397
License State
AZ
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

25MP00155600 (NJ)
2363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

3397 (AZ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Q63487MEDICARE UPIN (02)NJ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720004245
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274000828
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 0 + 8 + 2 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1720004245 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386647733DR. RICHARD KENT PEAIRS M.D.
Individual
Orthopaedic Surgery4550 E BELL RD BLG 8 UNIT 276
PHOENIX, AZ 85032
(602) 971-7073
1184689135DR. GREG P. MUCHNIJ X CH
Individual
Chiropractor4550 E BELL RD STE.284
PHOENIX, AZ 85032
(602) 866-3505
1386691947FOOTHILLS SPORTS MEDICINE & REHABILITATION- TATUM, INC.
Organization
Physical Therapist4550 E BELL RD SUITE 270
PHOENIX, AZ 85032
(602) 923-6600
1881737849COMPASS MENTAL HEALTH, LLC
Organization
Clinic/Center (Emergency Care)4550 E BELL RD SUITE 147
PHOENIX, AZ 85032
(602) 445-1565
1811109879ARIZONA ARTHROSCOPY & SPORTS MEDICINE, LTD
Organization
Orthopaedic Surgery (Sports Medicine)4550 E BELL RD BLDG 8 SUITE 276
PHOENIX, AZ 85032
(602) 971-7073
1679745384 HERBERT RAY WARNER LPC
Individual
Counselor (Mental Health)4550 E BELL RD SUITE 147
PHOENIX, AZ 85032
(602) 633-6200
1184881831ENVISIONCOUNSELING SERVICES LLC
Organization
Community/Behavioral Health4550 E BELL RD SUITE 284
PHOENIX, AZ 85032
(602) 478-9697
1326297128POWER OF ONE CHIROPRACTIC CLINIC PLC
Organization
Chiropractor4550 E BELL RD BLDG 6, STE 152
PHOENIX, AZ 85032
(602) 992-9791
1336376532PATRICIA DAVIS
Organization
Community/Behavioral Health4550 E BELL RD
PHOENIX, AZ 85032
(602) 633-6000
1215164421JULIA S. WESSELS
Organization
Community/Behavioral Health4550 E BELL RD
PHOENIX, AZ 85032
(602) 633-6000
1467689455ELIA SIMON
Organization
Community/Behavioral Health4550 E BELL RD
PHOENIX, AZ 85032
(602) 633-2000
1275760266LESTER R. PUTNEY
Organization
Community/Behavioral Health4550 E BELL RD
PHOENIX, AZ 85032
(602) 633-6200
1821225814JOANN F. WALTERS
Organization
Community/Behavioral Health4550 E BELL RD
PHOENIX, AZ 85032
(602) 633-2000
1639306624TANYA M SAUNDERS
Organization
Community/Behavioral Health4550 E BELL RD
PHOENIX, AZ 85032
(602) 633-6200
1629206081MISS TANYA M. SAUNDERS
Individual
Counselor (Mental Health)4550 E BELL RD 147
PHOENIX, AZ 85032
(602) 633-6200
1790913150MISS JULIA WESSELS
Individual
Counselor (Mental Health)4550 E BELL RD #147
PHOENIX, AZ 85032
(602) 633-6200
1659509032MISS CANDICE M. KOCHIS
Individual
Counselor (Mental Health)4550 E BELL RD 147
PHOENIX, AZ 85032
(602) 633-6200
1588892970MR. BRENT D. CONLEY
Individual
Counselor (Mental Health)4550 E BELL RD 147
PHOENIX, AZ 85032
(602) 633-6200
1417185885MR. LESTER R PUTNEY
Individual
Counselor (Mental Health)4550 E BELL RD 147
PHOENIX, AZ 85032
(602) 633-6200
1699903088MISS CHRISTINE Q. DRISCOLL
Individual
Counselor (Mental Health)4550 E BELL RD 147
PHOENIX, AZ 85032
(602) 633-6200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720004245, enumerated in the NPI registry as an "individual" on July 15, 2006

The provider is located at 4550 E Bell Rd Suite 170 Phoenix, Az 85032 and the phone number is (480) 443-8400

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.