DR. ERIC W PEACOCK (NPI# 1093861866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093861866 |
| Entity Type | Individual |
| Full Name | DR. ERIC W PEACOCK |
| Practice Address |
519 W Main St Milan MI 48160-9559 |
| Mailing Address |
519 W Main St P.o. Box 16 Milan MI 48160-9559 |
| Practice Telephone | 7344391543 |
| Practice Fax Number | 7344390553 |
| Mailing Telephone | 7344391543 |
| Mailing Fax Number | 7344390553 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
16900 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | AETNA DMO | 110788 | 01 |
| MI | 4135430 | 05 |
| Street Address |
519 W MAIN ST |
| City | MILAN |
| State | MI |
| Zip Code | 48160-9559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809726 | Milan Dental Associates, D.d.s., P.C. | Dentist | 519 W Main St, Milan, MI 48160-9559 | 2005-05-24 |
| 1053467829 | Stephen R. Gregg | Dentist | 519 W Main St, Milan, MI 48160-9559 | 2007-01-26 |
| 1568518330 | M.antonia Ausum | Dentist | 519 W Main St, Milan, MI 48160-9559 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174169270 | Debra Joyce Lammers | Pharmacist | 531 West Main Street, Milan, MI 48160 | 2019-11-23 |
| 1427507227 | Todd Morningstar | Licensed Practical Nurse | 10090 Farrd, Milan, MI 48160 | 2016-09-22 |
| 1518399567 | Ryan David Hall | Physical Therapist | 905 Dexter Street, Milan, MI 48160 | 2013-08-01 |
| 1972942506 | Amber Withrow | Counselor | 18b W Main St, Milan, MI 48160 | 2013-06-17 |
| 1750622965 | Beth Sue Peterson | Counselor | 18 W. Main St. Suite B, Milan, MI 48160 | 2013-03-13 |
| 1144552944 | Stamper Adult Care | Community Based Residential Treatment Facility, Mental Illness | 64 First St, Milan, MI 48160 | 2010-02-03 |
| 1245458512 | Patricia J Pacheco | Pharmacist | 4000 East Arkona Rd, Pharmacy Services, Milan, MI 48160 | 2007-04-23 |
| 1356429971 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1249 Dexter Street, Milan, MI 48160 | 2006-11-01 |
| 1700864618 | Gregory Allen Scherle | Family Medicine | 4004 Arkona Road, Milan, MI 48160 | 2006-01-03 |
| 1578993580 | Jill Michele-reese Stante | Social Worker | 17 Main Street, Suite #1, Milan, MI 48160 | 2013-11-13 |
| Find all providers in zip 48160 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811137235 | Robert Tyree Patrick I | Dentist | 2025 S 1st St, Milan, TN 38358-3004 | 2009-02-25 |
| 1528287380 | John K Schmidt | Dentist | 312 3rd St W, Milan, IL 61264-2452 | 2007-04-24 |
| 1316065345 | Anthony Charles Vansoest | Dentist | 102 E 1st St, Milan, MO 63556-1351 | 2007-03-27 |
| 1205843356 | Gene Douglas Strathdee | Dentist | 527 2nd St W, Milan, IL 61264-2743 | 2006-08-02 |
| 1902809726 | Milan Dental Associates, D.d.s., P.C. | Dentist | 519 W Main St, Milan, MI 48160-9559 | 2005-05-24 |
| 1477032050 | Southern Family Dentistry | Dentist | 2025 S 1st St, Milan, TN 38358-3004 | 2018-08-14 |
| 1851754592 | Meridian Dentistry | Dentist | 49 E Main St, Milan, MI 48160-1476 | 2016-03-31 |
| 1841452711 | Brian Mayday Dds,pc | Dentist | 21 E Main St, Milan, MI 48160-1248 | 2008-07-01 |
| 1053467829 | Stephen R. Gregg | Dentist | 519 W Main St, Milan, MI 48160-9559 | 2007-01-26 |
| 1568518330 | M.antonia Ausum | Dentist | 519 W Main St, Milan, MI 48160-9559 | 2007-01-26 |
| Find all providers in MILAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.