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CENTERWELL SENIOR PRIMARY CARE-PEORIA
NPI 1003563347
Internal Medicine in Peoria, AZ

Active since March 07, 2022
10280 N 91ST AVE, PEORIA, AZ 85345(602) 842-9880(877) 891-4091 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2022, Mar 7, 2022 (2 updates tracked since 2022).

About Centerwell Senior Primary Care-peoria NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERWELL SENIOR PRIMARY CARE-PEORIA (NPI 1003563347) is a healthcare organization registered as an internal medicine in Peoria, Arizona and active in the NPI registry since March 2022. The organization lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1003563347
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE AZ PC
Location Address10280 N 91ST AVEPeoria, AZ 85345-6461
Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120
Phone(602) 842-9880
Fax(877) 891-4091
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateMarch 7, 2022
Last NPPES UpdateOctober 31, 20222 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
✔ NPI 1003563347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
10280 N 91ST AVE, Peoria, AZ 85345
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Other Names 1

Doing Business AsCenterwell Senior Primary Care-peoria

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DORIN T POPA MD
Family Medicine
10280 N 91ST AVE
PEORIA, AZ 85345
Maricopa County (602) 842-9880
HOLLY J LAGO C-FNP
Nurse Practitioner (Family)
10280 N 91ST AVE
PEORIA, AZ 85345
Maricopa County (602) 842-9880
DR. BRIAN SCOTT THOMPSON JR. DO
Family Medicine
10280 N 91ST AVE
PEORIA, AZ 85345
Maricopa County (520) 526-4396

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centerwell Senior Primary Care Az PC's NPI number?

The NPI number for Centerwell Senior Primary Care Az PC is 1003563347. It was assigned to this organization in the NPPES registry on March 7, 2022. The provider is doing business as Centerwell Senior Primary Care-Peoria.

Where is Centerwell Senior Primary Care Az PC located?

Centerwell Senior Primary Care Az PC is located at 10280 N 91st Ave, Peoria, AZ 85345. The listed phone number is (602) 842-9880.

What is Centerwell Senior Primary Care Az PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Az PC was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.