Shelley L Peetz, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

24743 Issued in CO

Practice address

2000 70TH Ave
Greeley, CO 80634-8626

Phone

(970) 506-6700

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• North Colorado Anesthesia Associates PC

  • Anesthesiology Physician
  • Greeley, CO
  • NPI 1740385871
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1962508531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 39TH AVE",
            "address_2": "SUITE L",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342502",
            "telephone_number": "970-352-7366",
            "fax_number": "970-352-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 70TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806348626",
            "telephone_number": "970-506-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEETZ",
        "first_name": "SHELLEY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "24743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01247436",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Pulmonary and Sleep Specialists, PLLC
• Zacura Pedro
• Nadia Karen Pedroza Morales
• Noel H Peercy, NCC
• Michael E Peetz, MD
• Tina Pehrson, PHARM.D.
• Braydon Peif, RBT
• Michael James Peirce
• Sharon A Pendlebury, LCSW
• Lindsay Marie Pendleton, DPT

• Anesthesiology Physician in Greeley, CO
• Providers in Greeley, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.