PAUL M PETELIN SR. MD
NPI 1124201819
Surgery in Scottsdale, AZ

Active since December 17, 2007
14275 N 87TH ST, STE 110, SCOTTSDALE, AZ 85260(480) 905-8485(480) 905-7274 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 7, 2019, Nov 22, 2016 (2 updates tracked since 2016).

About Paul M Petelin Sr. Md NPPES

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

PAUL M PETELIN SR. MD (NPI 1124201819) is an individual surgery provider in Scottsdale, Arizona, licensed in Arizona (5845) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1124201819
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePAUL M PETELIN SR.Credential: MD
Location Address14275 N 87TH ST, STE 110Scottsdale, AZ 85260-3696
Mailing Address14275 N 87th St, Ste 110Scottsdale, AZ 85260-3696 · (480) 905-8485
Fax(480) 905-7274
Sole ProprietorYes
Enumeration DateDecember 17, 2007
Last NPPES UpdateNovember 7, 20192 updates tracked since enumeration
NPI 1124201819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in AZ · 5845
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 5845 (AZ)
14275 N 87TH ST, Scottsdale, AZ 85260

Other Providers at the Same Location NPPES 15

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

Dermatology (MOHS-Micrographic Surgery)
14275 N 87TH ST, SUITE #110
SCOTTSDALE, AZ 85260
Dermatology
14275 N 87TH ST, SUITE 110
SCOTTSDALE, AZ 85260
Physician Assistant (Medical)
14275 N 87TH ST, SUITE 109 & 110
SCOTTSDALE, AZ 85260
Dermatology
14275 N 87TH ST, SUITE 110
SCOTTSDALE, AZ 85260
Physician Assistant
14275 N 87TH ST, SUITE 110
SCOTTSDALE, AZ 85260
Dermatology (MOHS-Micrographic Surgery)
14275 N 87TH ST, 110
SCOTTSDALE, AZ 85260
Physician Assistant
14275 N 87TH ST, STE 110
SCOTTSDALE, AZ 85260
Dermatology
14275 N 87TH ST, STE 110
SCOTTSDALE, AZ 85260

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 Paul Petelin's NPI number?

The NPI number for Paul Petelin is 1124201819. It was assigned to this individual provider in the NPPES registry on December 17, 2007.

Where is Paul Petelin located?

Paul Petelin practices at 14275 N 87th St Ste 110, Scottsdale, AZ 85260. The listed phone number is (480) 905-8485.

What is Paul Petelin's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Paul Petelin was last updated on November 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.