Healthcare Provider Details

I. General information

NPI: 1942285978
Provider Name (Legal Business Name): PETER DEAN CUMMINGS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13203 N 103RD AVE STE H5
SUN CITY AZ
85351-3032
US

IV. Provider business mailing address

10015 E SHANGRI LA RD
SCOTTSDALE AZ
85260-6314
US

V. Phone/Fax

Practice location:
  • Phone: 623-235-4726
  • Fax: 623-777-4748
Mailing address:
  • Phone: 623-235-4726
  • Fax: 623-777-4748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number26142
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: