DR. MARK PEACOCK (NPI# 1275061475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275061475 |
| Entity Type | Individual |
| Full Name | DR. MARK PEACOCK |
| Credential | DO |
| Practice Address |
305 Langdon St Somerset KY 42503 |
| Mailing Address |
10 Eltons Pl Somerset KY 42503-1585 |
| Practice Telephone | 6066797441 |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245340322 | Mark Allen Peacock | Family Medicine | 3841 Feather Oaks Dr. E., Jacksonville, FL 32277-2293 | 2006-08-30 |
| 1699734848 | Mark D Peacock | Obstetrics & Gynecology | 15940 Northcross Dr, Suite C, Huntersville, NC 28078-5062 | 2006-03-17 |
| 1558864785 | Mark Peacock | Psychologist | 1100 N University Ave Ste 200, Little Rock, AR 72207-6360 | 2018-03-14 |
| 1578652616 | Mark Eugene Peacock | Dentist | 3736 Walton Way Ext, Augusta, GA 30907-2402 | 2006-10-12 |
| 1427052224 | Mark D Peacock | Internal Medicine | 300 20th Ave N, Suite G-4, Nashville, TN 37203-2131 | 2005-06-09 |
| Street Address |
305 LANGDON ST |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700889144 | David Wayne Flynn | Family Medicine | 305 Langdon St, Somerset, KY 42503-2750 | 2005-05-31 |
| 1225656424 | Katelyn Sandell | Physician Assistant | 305 Langdon St, Somerset, KY 42503-2750 | 2020-07-14 |
| 1508487091 | Xaverie Lene Benedict | Family Medicine | 305 Langdon St, Somerset, KY 42503-2750 | 2020-05-06 |
| 1467073445 | Rachel West | Pharmacist | 305 Langdon St, Somerset, KY 42503-2750 | 2020-05-01 |
| 1245859123 | Brandon Robert Thomas | Student in an Organized Health Care Education/Training Program | 305 Langdon St, Somerset, KY 42503-2750 | 2020-04-10 |
| 1891323275 | Chase Aaron, Scott Noel | Student in an Organized Health Care Education/Training Program | 305 Langdon St, Somerset, KY 42503-2750 | 2020-03-31 |
| 1609403930 | Gurpreet Kaur | Student in an Organized Health Care Education/Training Program | 305 Langdon St, Somerset, KY 42503-2750 | 2020-03-25 |
| 1851928667 | Alvina Yvette Evans | Nurse Anesthetist, Certified Registered | 305 Langdon St, Somerset, KY 42503-2750 | 2020-03-24 |
| 1972130540 | Kylie Shea Rice | Student in an Organized Health Care Education/Training Program | 305 Langdon St, Somerset, KY 42503-2750 | 2020-03-24 |
| 1124655626 | Mary M Nguy | Student in an Organized Health Care Education/Training Program | 305 Langdon St, Somerset, KY 42503-2750 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891319117 | Zachary Taylor | Student in an Organized Health Care Education/Training Program | 109 Hill St, Somerset, KY 42501-1671 | 2020-06-02 |
| 1194349654 | Valerie Deremer | Student in an Organized Health Care Education/Training Program | 210 Clover Pointe Dr, Somerset, KY 42503-5802 | 2020-06-01 |
| 1528621497 | Sarah Catherine Mills | Student in an Organized Health Care Education/Training Program | 1004 Ferry Rd Unit 1, Somerset, KY 42503-6210 | 2019-04-17 |
| 1043743255 | Vandankumar Patel | Student in an Organized Health Care Education/Training Program | 1 John F Kennedy Blvd Apt 5c, Somerset, NJ 08873-6903 | 2017-04-05 |
| 1033526553 | Angela Pritts | Student in an Organized Health Care Education/Training Program | 169 Worthington Ln, Somerset, PA 15501-4525 | 2014-07-16 |
| 1154607042 | Isatta Sally Joseph | Student in an Organized Health Care Education/Training Program | 1140 Easton Ave Apt H, Somerset, NJ 08873-1633 | 2011-10-24 |
| 1275776098 | Rick Parsotam Vaghasiya | Student in an Organized Health Care Education/Training Program | 23 Clyde Rd Ste 101, Somerset, NJ 08873-5050 | 2009-04-09 |
| 1700041647 | Omotayo Majekodunmi | Student in an Organized Health Care Education/Training Program | 2801 Holland Dr, Somerset, NJ 08873-4657 | 2008-07-21 |
| 1316566771 | Fedwa Lutfi | Student in an Organized Health Care Education/Training Program | 303 Langdon St, Somerset, KY 42503-2750 | 2020-04-15 |
| 1952920613 | Taylor Grant Billings | Student in an Organized Health Care Education/Training Program | 303 Langdon St, Somerset, KY 42503-2750 | 2020-04-13 |
| Find all providers in SOMERSET | ||||
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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.