Individual provider Active NPI

Peter Trethewey, P.A.-C

  • Medical Physician Assistant
  • Glendale, AZ
National Provider Identifier
1700987104
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2138 Issued in AZ
Practice address
4232 W Bell Rd
Suite C1
Glendale, AZ 85308-4027
Phone
(602) 639-4535
Fax
(602) 942-4717
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2138 AZ Primary

Addresses

Primary practice location

4232 W Bell Rd
Suite C1
Glendale, AZ 85308-4027

Mailing address

1250 S Clearview Ave
Suite 100
Mesa, AZ 85209-3378
Phone (480) 988-9108

Other identifiers 2

IdentifierTypeStateIssuer
Z75233OtherAZMEDICARE PTAN
921793MedicaidAZ

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121203000586 AZ Practitioner - Physician Assistant 5496907198 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Urgent Care LLCGroup PAC ID 0345130266, 103 clinicians

Practice addresses (Care Compare)

1515 E Bethany Home Rd
Suite 120B
Phoenix, AZ 85014-2496
Phone (602) 812-3080

16716 E Palisades Blvd
Suite 101B
Fountain Hills, AZ 85268-3846
Phone (480) 587-5910

17015 N 7TH St
Suite 100
Phoenix, AZ 85022-2436
Phone (602) 368-1403

18404 N Tatum Blvd
Suite 101C
Phoenix, AZ 85032-1511
Phone (602) 992-1900

3648 W Anthem Way
BLDG a 100C
Anthem, AZ 85086-7001
Phone (623) 434-6444

4501 E Thomas Rd
Suite 101
Phoenix, AZ 85018-7600
Phone (602) 808-8786

7730 E McDowell Rd
Suite 101
Scottsdale, AZ 85257-3772
Phone (480) 699-3314

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as group
Quality
77.66
Promoting interoperability
100
Improvement activities
40
Cost
66.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2138AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Dec 1, 2020 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Dec 1, 2020 Accepting new patients
Tri-City Express Care, PLLC CurrentSince Feb 4, 2019 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Dec 31, 2023 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Dec 31, 2023 Accepting new patients
East Valley Urgent Care, LLC Past Accepting new patients
Med 97 LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Nextcare Arizona I JV LLC Past Accepting new patients
Center for Physical Medicine & Rehabilitation P C Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Gold Star Medical LLC Past Accepting new patients
Arthrocare Arthritis Care and Research, P.C. Past Accepting new patients
Whispering Palms Medical Inc Past Accepting new patients

Locations (25 of 38)

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

2875 W Ray Rd
Ste 8
Chandler, AZ 85224
Phone (480) 726-3440

3705 S Arizona Ave
Ste 1
Chandler, AZ 85248
Phone (480) 214-7828

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 241-7564

3730 W Happy Valley Rd
Ste 100
Glendale, AZ 85310
Phone (623) 277-4140

1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040

1810 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 214-0045

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

1955 S Signal Butte Rd
Ste 103
Mesa, AZ 85209
Phone (480) 214-4466

835 W University Dr
Mesa, AZ 85201
Phone (480) 664-6007

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

2860 W Peoria Ave
Ste B
Phoenix, AZ 85029
Phone (602) 283-0595

3131 E Thunderbird Rd
Ste 73
Phoenix, AZ 85032
Phone (602) 283-3609

2301 N 44th St
Phoenix, AZ 85008
Phone (602) 808-8786

2423 W Dunlap Ave
Ste 150
Phoenix, AZ 85021
Phone (602) 216-6862

3302 W Thomas Rd
Ste 10
Phoenix, AZ 85017
Phone (602) 233-2900

8260 W Indian School Rd
Ste 1
Phoenix, AZ 85033
Phone (623) 846-7122

5259 W Indian School Rd
Ste 100
Phoenix, AZ 85031
Phone (623) 888-5101

401 E Bell Rd
Ste 18
Phoenix, AZ 85022
Phone (602) 368-1403

1515 E Bethany Home Rd
Ste 120B
Phoenix, AZ 85014
Phone (480) 324-7231

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

17015 N 7th St
Phoenix, AZ 85022

7730 E McDowell Rd
Ste 101
Scottsdale, AZ 85257
Phone (480) 699-3314

4902 E Shea Blvd
Ste 101
Scottsdale, AZ 85254
Phone (480) 214-4468

Interoperability endpoints

  • Direct secure messaging: ptrethewey441253@direct.honorhealth.com

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1700987104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S CLEARVIEW AVE",
            "address_2": "SUITE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093378",
            "telephone_number": "480-988-9108",
            "fax_number": "480-813-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 W BELL RD",
            "address_2": "SUITE C1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084027",
            "telephone_number": "602-639-4535",
            "fax_number": "602-942-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRETHEWEY",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z75233",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "921793",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.