JOSEPH PECK (NPI# 1477099380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477099380 |
| Entity Type | Individual |
| Full Name | JOSEPH PECK |
| Practice Address |
1100 E 5th St Anderson IN 46012-3462 |
| Practice Telephone | 8152457202 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | Emergency Medical Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609131556 | Joseph W Peck | Dentist | 1844 E 9400 S, Sandy, UT 84093-3000 | 2012-07-06 |
| 1053368472 | Joseph Carl Peck | Physical Medicine & Rehabilitation | 23600 Telo Ave, Suite# 180, Torrance, CA 90505-4035 | 2006-05-30 |
| Street Address |
1100 E 5TH ST |
| City | ANDERSON |
| State | IN |
| Zip Code | 46012-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780658310 | Jason William Good | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2006-02-13 |
| 1932700572 | Kacey Nicole Kaelin | Specialist/Technologist, Other | 1100 E 5th St, Anderson, IN 46012-3495 | 2020-11-02 |
| 1467014035 | Ashley Downs | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2019-07-03 |
| 1366918823 | Cody Ryan Harlan | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2018-10-22 |
| 1023593548 | Philip Timothy Boor IIi | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2018-10-01 |
| 1487172268 | Tanya Michelle Whiteman | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2017-08-31 |
| 1831635747 | Ethan Thomas Frye | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2017-01-17 |
| 1104362011 | Josh Willard | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2017-01-17 |
| 1922544832 | Trevor Pruitt | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2017-01-17 |
| 1386180297 | Jarrad Buckner | Specialist/Technologist | 1100 E 5th St, Anderson, IN 46012-3462 | 2017-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184142358 | Conduct Curb, LLC | Behavioral Analyst | 3084 Broadway Street, Anderson, IN 46012 | 2017-09-07 |
| 1336697119 | Patricia Jones | Specialist/Technologist | 1100 East 5th Street, Anderson, IN 46012 | 2016-09-21 |
| 1558689166 | Amber Marie Rose | Physical Therapy Assistant | 100 N. 16th Street, The Waters of New Castle, New Castle, IN 46012 | 2010-05-06 |
| 1457581134 | Jennifer L Stanley | Nurse Practitioner | 2976 N Scattefield Rd, Suite 101, Anderson, IN 46012 | 2009-07-16 |
| 1427291020 | Richland Township | Ambulance | 405 East 500 North, Anderson, IN 46012 | 2009-04-13 |
| 1326231408 | Jessica R Finn | Speech-Language Pathologist | 2519 E 10th St Ste A, Anderson, IN 46012 | 2007-08-22 |
| 1699974568 | Selah House, Inc | Psychiatric Hospital | 1180 N. 300 East, Anderson, IN 46012 | 2007-07-12 |
| 1619199221 | Lifetime Dental Care of Indiana, PC | Dentist | 777 Broadway, Suite A, Anderson, IN 46012 | 2007-05-03 |
| 1750423265 | Physicians Weight Loss Center | Clinic/Center | 2976 N Scatterfield Rd Suite 121, Anderson, IN 46012 | 2007-02-12 |
| 1235283102 | Gregory Robert Busing | Dentist | 1700 Broadway St, Anderson, IN 46012 | 2007-01-22 |
| Find all providers in zip 46012 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710433933 | Danielle Mcintyre | Emergency Medical Technician, Basic | 4418 W State Road 60, Salem, IN 47167-6494 | 2016-08-28 |
| 1841646072 | Kimberly Ailene Thompson | Emergency Medical Technician, Basic | 1321 Clara Ave, Fort Wayne, IN 46805-3517 | 2016-05-06 |
| 1144551474 | Orleans Fire | Emergency Medical Technician, Basic | 161 E Price Ave, Orleans, IN 47452-1429 | 2010-01-27 |
| 1659600153 | David M Halter | Emergency Medical Technician, Basic | 928 Vigo St, Vincennes, IN 47591-2836 | 2009-12-11 |
| 1598906182 | Coal Creek Fire & Rescue Inc. | Emergency Medical Technician, Basic | 215 S Prairie St, New Richmond, IN 47967 | 2009-03-12 |
| 1629195227 | Amo Volunteer Fire Dept Inc | Emergency Medical Technician, Basic | 4543 W County Road 500 S, Amo, IN 46103-7711 | 2007-03-26 |
| 1700990322 | Lakes of The Four Seasons Volunteer Fire Force, Inc. | Emergency Medical Technician, Basic | 745 W 275 S, Hebron, IN 46341-9712 | 2006-08-19 |
| 1790787026 | Francis Thomas Zakrajsek | Emergency Medical Technician, Basic | 7758 N 800 E, Monticello, IN 47960-7452 | 2005-05-31 |
| 1093350902 | John R Grolich | Emergency Medical Technician, Basic | 2855 Miller Dr Ste 117, Plymouth, IN 46563-8091 | 2019-11-14 |
| 1114457892 | Dawn Korson | Emergency Medical Technician, Basic | 550 University Blvd Ste 1710, Indianapolis, IN 46202-5149 | 2017-06-15 |
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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.