Jennifer K Peck is a Surgical in Beachwood, Ohio. Jennifer K Peck practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jennifer K Peck is 1154407757. The last update date is 2007-07-08.
Jennifer K Peck's current location address is 3401 Enterprise Pkwy, Beachwood, Ohio. You can contact this provider via phone number 2168315700. The mailing address for Jennifer K Peck is 3401 Enterprise Pkwy, Beachwood, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer K Peck |
|---|---|
| Address | 3401 Enterprise Pkwy, Beachwood, Ohio |
| Phone Number | 2168315700 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1154407757 |
|---|---|
| Provider Enumeration Date | 2006-10-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3401 Enterprise Pkwy |
|---|---|
| City | Beachwood |
| State | Ohio (OH) |
| Post Code | 441227341 |
| Phone Number | 2168315700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 1072660 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jennifer K Peck?
The Jennifer K Peck has been issued the NPI (National Provider Identifier) 1154407757 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jennifer K Peck?
The Jennifer K Peck is physically situated at 3401 Enterprise Pkwy, in the city of Beachwood, state of OH, with the postal code 441227341.
What is Jennifer K Peck's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jennifer K Peck is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
On what date did the Jennifer K Peck receive its 1154407757 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer K Peck was assigned its 1154407757 by the Centers for Medicare & Medicaid Services on 2006-10-27.
When was the Jennifer K Peck's information last updated?
The Jennifer K Peck's information was last updated on 2007-07-08.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL