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PEORIA PHYSICIAN GROUP
NPI 1124649637
General Practice in Peoria, AZ

Active since May 06, 2020
13760 N 93RD AVE STE 105, PEORIA, AZ 85381(480) 809-6589 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peoria Physician Group NPPES

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

PEORIA PHYSICIAN GROUP (NPI 1124649637) is a healthcare organization registered as a general practice in Peoria, Arizona and active in the NPI registry since May 2020. The organization lists Jeremiah Faber, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124649637
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePEORIA PHYSICIAN GROUP
Location Address13760 N 93RD AVE STE 105Peoria, AZ 85381-4260
Mailing AddressPo Box 964Gilbert, AZ 85299-0964 · (480) 366-4489
Phone(480) 809-6589
Organization SubpartNo
Authorized OfficialJeremiah FaberCeo · (480) 258-3635
Enumeration DateMay 6, 2020
NPPES CertifiedMay 6, 2020
✔ NPI 1124649637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
13760 N 93RD AVE STE 105, Peoria, AZ 85381
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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 2

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

RACHEL J BIGELOW LMT, CR
Massage Therapist
13760 N 93RD AVE STE 105
PEORIA, AZ 85381
Maricopa County (602) 402-5402
MS. STACEY FERGUSON FNP
Nurse Practitioner (Family)
13760 N 93RD AVE STE 105
PEORIA, AZ 85381
Maricopa County (480) 698-1606

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 Peoria Physician Group's NPI number?

The NPI number for Peoria Physician Group is 1124649637. It was assigned to this organization in the NPPES registry on May 6, 2020.

Where is Peoria Physician Group located?

Peoria Physician Group is located at 13760 N 93rd Ave Ste 105, Peoria, AZ 85381. The listed phone number is (480) 809-6589.

What is Peoria Physician Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Peoria Physician Group was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.