# PEAK HEALTH MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518787100
- **Authorized official:** CHIKA UGORJI MD (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (904) 994-4532

## Contact information

- **Practice address:** 127 E MAIN ST STE A, PAYSON, AZ 85541-5646
- **Practice address phone:** (928) 492-9222
- **Practice address fax:** (928) 492-9223
- **Mailing address:** 127 E MAIN ST STE A, PAYSON, AZ 85541-5646
- **Mailing address phone:** (928) 492-9222
- **Mailing address fax:** (928) 492-9223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207ND0101X | MOHS-Micrographic Surgery Physician | — | NULL | — |
| 207ND0101X | MOHS-Micrographic Surgery Physician | — | — | — |
| 207NP0225X | Pediatric Dermatology Physician | — | NULL | — |
| 207NP0225X | Pediatric Dermatology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/16/2024
- **Last updated:** 07/14/2026