NPIMap

Organization Active NPI

Peak Urgent Care

Doing business as Peak Medical Medicare

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1942214259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3441 Issued in AZ
Legal business name
PEAK URGENT CARE
Doing business as
Peak Medical Medicare
Practice address
2101 N Country Club Rd
Suite 105
Tucson, AZ 85716
Phone
(520) 296-4277
Fax
(520) 296-4507
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Renee Rakestraw
Title
Office Manager
Phone
(520) 296-4277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 3441 AZ Primary

Addresses

Primary practice location

2101 N Country Club Rd
Suite 105
Tucson, AZ 85716

Mailing address

PO Box 12746
2101 N Country Club Rd Suite 105
Tucson, AZ 85716
Phone (520) 296-4277

Other identifiers 1

IdentifierTypeStateIssuer
494914MedicaidAZ

Other names 1

  • Peak Medical Medicare Doing business as

National Provider Directory

National Provider Directory

Locations

2101 N Country Club Rd
Ste 105
Tucson, AZ 85716
Phone (520) 296-4277

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942214259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12746",
            "address_2": "2101 N COUNTRY CLUB RD SUITE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85716",
            "telephone_number": "520-296-4277",
            "fax_number": "520-296-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N COUNTRY CLUB RD",
            "address_2": "SUITE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85716",
            "telephone_number": "520-296-4277",
            "fax_number": "520-296-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAKESTRAW",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "520-296-4277",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494914",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Medical Medicare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.