NATHAN PETERSEN, M.D. – NPI #1336596345
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

NATHAN PETERSEN, M.D. is a provider located in GLENDALE, AZ. NPPES has assigned the NPI number 1336596345 to NATHAN PETERSEN, M.D. on May 19, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NATHAN PETERSEN, M.D.” is a dba name, the actual legal business name for this organization is TUCKER BAG LLC. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NATHAN PETERSEN, M.D. below.

NPI Profile for
TUCKER BAG LLC

NPI Number
1336596345
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TUCKER BAG LLC
Doing Business As (dba): NATHAN PETERSEN, M.D.
Primary location
6370 W. UNION HILLS DR.
GLENDALE, AZ 85308
Phone: (623) 414-3500 Fax: (623) 374-2549
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NATHAN PETERSEN
MEMBER
Phone: (623) 414-3500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
AZ 51043

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.