Peace Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31893 Issued in AZ

Legal business name

PEACE FAMILY MEDICINE PC

Practice address

218 W White Mountain Blvd
Suite D
Lakeside, AZ 85929

Phone

(928) 367-9995

Fax

(928) 367-9988

NPI assigned

Nov 26, 2007

Last updated

Dec 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donna J Peace, MD

Title

President

Phone

(928) 535-6667

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eddie Duane Lauritsen

  • Psychologist
  • Show Low, AZ
  • NPI 1023004686
  NPD (past)
• Regina Elizabeth Ross, MD

  • Family Medicine Physician
  • Winslow, AZ
  • NPI 1063690014
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1699956235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "OVERGAARD",
            "state": "AZ",
            "postal_code": "859330099",
            "telephone_number": "928-535-6667",
            "fax_number": "928-535-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W WHITE MOUNTAIN BLVD",
            "address_2": "SUITE D",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "85929",
            "telephone_number": "928-367-9995",
            "fax_number": "928-367-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "PEACE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-535-6667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "31893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Neel, MD
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• Valente Jose Oropeza
• Partners in Recovery, LLC
• Peak Physical Therapy, PLLC
• Pediatric Multicare West, LLC
• Pinetop Primary Palliative Care PLLC
• Pinetop Senior Living LLC
• Pinetop-Lakeside Integrative & Physical Medicine,LLC

• Family Medicine Physician in Lakeside, AZ
• Providers in Lakeside, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.