Active NPI
James J Peterman Jr., M.D.
- Anesthesiology Physician
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 33652
- Practice address
- 2421 E Southern Ave Ste 7
Tempe, AZ 85282-7612 - Phone
- (480) 425-2160
- Fax
- (480) 351-8797
- NPI assigned
- May 20, 2006
- Last updated
- Dec 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 33652 | AZ | Primary |
Addresses
Primary practice location
2421 E Southern Ave Ste 7
Tempe, AZ 85282-7612
Mailing address
PO Box 41150
Mesa, AZ 85274-1150
Phone (480) 425-2160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 949472 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33652 | AZ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Anesthesia Partners of Arizona LLC | Anesthesiology | Current | Accepting new patients |
| Banner Hospital Based Physicians Arizona LLC | Current | Accepting new patients | |
| Camelback Anesthesia PLLC | Current | Accepting new patients | |
| Sjhmc Physician Services | Past | Accepting new patients |
Locations
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443
14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000
2000 E Southern Ave
Ste 102
Tempe, AZ 85282
Phone (480) 820-9141
2421 E Southern Ave
Ste 7
Tempe, AZ 85282
Phone (480) 832-3600
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Tempe, AZ
- NPI 1356393359
-
- Multi-Specialty Clinic/Center
- San Tan Valley, AZ
- NPI 1275889891
-
dba Camelback Pain Consultants
- Pain Medicine (Anesthesiology) Physician
- Tempe, AZ
- NPI 1831560176
-
- Anesthesiology Physician
- Tempe, AZ
- NPI 1982620167
-
- Multi-Specialty Clinic/Center
- Gilbert, AZ
- NPI 1124374822
-
- Critical Care Medicine (Internal Medicine) Physician
- Phoenix, AZ
- NPI 1780445171
-
dba St. Joseph's Faculty Physicians
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1033163340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41150",
"city": "MESA",
"state": "AZ",
"postal_code": "852741150",
"telephone_number": "480-425-2160",
"fax_number": "480-351-8797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 E SOUTHERN AVE STE 7",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827612",
"telephone_number": "480-425-2160",
"fax_number": "480-351-8797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERMAN",
"first_name": "JAMES",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "33652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "949472",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.