Raymond William Peterson Jr., DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0074 Issued in AZ

Practice address

6701 E 22ND St
Tucson, AZ 85710-5110

Phone

(520) 747-1435

Fax

(520) 747-1435

NPI assigned

Jun 1, 2005

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1992707160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 E 22ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857105110",
            "telephone_number": "520-747-1435",
            "fax_number": "520-747-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 E 22ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857105110",
            "telephone_number": "520-747-1435",
            "fax_number": "520-747-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "RAYMOND",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Peterson
• Mark Steven Peterson, MD
• Mikael Brian Peterson, PHARMD.
• Mimi M Peterson, M.D.
• Paula C Peterson, OD
• Shannon Lynn Peterson, RN
• Sharon Peterson, OD
• Shaun N Peterson, MD
• Spencer O'Brien Peterson, D.O.
• Rachelle Rae Petika, NP-C

• Podiatrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.