CAROLYN G PETERSON P.A. - C
NPI 1477535334
Physician Assistant in Phoenix, AZ

Q: What is Carolyn Peterson's NPI number?

The NPI number for Carolyn Peterson is 1477535334. It was assigned to this individual provider in the NPPES registry on November 16, 2005. The provider is also known as Carolyn G Edel P.A.-C.

Q: What is Carolyn Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Peterson was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 16, 2005

5779 E MAYO BLVD, PHOENIX, AZ 85054(480) 301-8000 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2021, Sep 9, 2020, Oct 15, 2019 (3 updates tracked since 2019).

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About Carolyn G Peterson P.a. - C NPPES

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

CAROLYN G PETERSON P.A. - C (NPI 1477535334) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (1874) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1477535334

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCAROLYN G PETERSONCredential: P.A. - C

Location Address5779 E MAYO BLVDPhoenix, AZ 85054-4502

Mailing Address5779 E Mayo BlvdPhoenix, AZ 85054-4502 · (480) 301-8000

Phone(480) 301-8000

Sole ProprietorNo

Enumeration DateNovember 16, 2005

Last NPPES UpdateFebruary 11, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2021

✔ NPI 1477535334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 1874

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 1874 (AZ)

5779 E MAYO BLVD, Phoenix, AZ 85054

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Other Names 1

Professional Name (2)Carolyn G Edel P.a.-c

Other Identifiers 3

Medicaid344458AZ

Other240004028AZ · Railroad Medicare

Other86080015085259A199AZ · Triwest

Other Providers at the Same Location NPPES 20

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

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