Christian Kline Peters, D.O.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

07-474225-H Issued in AZ

Practice address

6070 W Desert Marigold LN
Tucson, AZ 85742-8233

Phone

(520) 572-2450

Fax

(520) 579-9524

NPI assigned

May 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2012 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Christian Peters D.O.P.C.

  • General Practice Physician
  • Tucson, AZ
  • NPI 1356582688
  Authorized official Same address or phone

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811106842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 W DESERT MARIGOLD LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857428233",
            "telephone_number": "520-572-2450",
            "fax_number": "520-572-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 W DESERT MARIGOLD LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857428233",
            "telephone_number": "520-572-2450",
            "fax_number": "520-579-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "CHRISTIAN",
        "middle_name": "KLINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "AZ",
            "license": "07-474225-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Klinger MD LLC
• Peter Langenfeld OD PC
• Peter R. Bodnar, M.D. PLLC
• Clinton Peter, PHARMD
• Carol L Peters, NP-C
• Eric C. Peters, M.D.
• Eric David Peters, MD
• Kimberly Shaw Peters, LMSW
• Mackenzie Drew Peters, RN
• Dena E Petersen, MD

• Public Health & General Preventive Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Public Health & General Preventive Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.