Alexis Petra MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

ALEXIS PETRA MD

Practice address

21835 N 51St St
Phoenix, AZ 85054-7140

Phone

(623) 433-6452

Fax

(623) 433-6452

NPI assigned

Jun 2, 2020

Last updated

Jun 2, 2020By 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

Alexis PetraNPI 1245241991

Title

MD

Phone

(623) 433-6452

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Alexis Petra, MD

  • Emergency Medicine Physician
  • Rancho Mirage, CA
  • NPI 1245241991
  NPD Authorized official

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1831713148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21835 N 51ST ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850547140",
            "telephone_number": "623-433-6452",
            "fax_number": "623-433-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21835 N 51ST ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850547140",
            "telephone_number": "623-433-6452",
            "fax_number": "623-433-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIS PETRA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "PETRA",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "623-433-6452"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Alexander, LPC
• William Tyler Alexander, LAC
• Karsten Alexandria, N.D., L.AC.
• Nadejda Alexandrova, PSYD
• Alexicom Tech LLC
• Alexis Tully, LCSW, PLLC
• Cartlyne Alexis, REGISTERED NURSE
• Donette Mary Alexis, CLINICALPSYCHOLOGIST
• Annemarie Alf, PT
• Jennifer Alfafara, FNP-C

• Emergency Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.