MR. DAVID E PEACO (NPI# 1538177563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538177563 |
| Entity Type | Individual |
| Full Name | MR. DAVID E PEACO |
| Credential | PHD |
| Practice Address |
600 Medical Dr Ste 205 Wentzville MO 63385 |
| Practice Telephone | 6363325050 |
| Practice Fax Number | 6363274723 |
| Mailing Telephone | 6363325050 |
| Mailing Fax Number | 6363274723 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2015-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
071004359 | IL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
01175 | MO | Behavioral Health & Social Service Providers |
| Street Address |
600 MEDICAL DR STE 205 |
| City | WENTZVILLE |
| State | MO |
| Zip Code | 63385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679560015 | Richard O. Follwell, P.C. | Surgery | 600 Medical Dr, Suite 202, Wentzville, MO 63385-3426 | 2005-09-30 |
| 1003359027 | Pamela Elaine Crismon | Counselor | 600 Medical Dr, Suite 109, Wentzville, MO 63385-3426 | 2016-11-22 |
| 1396123022 | St. Charles West Psychological | Psychologist | 600 Medical Dr, Wentzville, MO 63385-3426 | 2015-05-14 |
| 1417222175 | Amy Willbanks | Nurse Practitioner | 600 Medical Dr, Wentzville, MO 63385-3426 | 2012-03-14 |
| 1437455441 | Seema Karthik Iyer | Internal Medicine | 600 Medical Dr, Ste 106, Wentzville, MO 63385-3426 | 2011-02-08 |
| 1336454578 | Susan K Thessen | Physical Therapist | 600 Medical Dr, Suite 109, Wentzville, MO 63385-3426 | 2010-08-12 |
| 1700191897 | Darcy Boatright | Physical Therapist | 600 Medical Dr, Suite 109, Wentzville, MO 63385-3426 | 2010-08-12 |
| 1871807347 | Kelly Seidel | Physical Therapist | 600 Medical Dr, Suite 109, Wentzville, MO 63385-3426 | 2010-07-27 |
| 1093946527 | Patricia Ann Rapplean | Nurse Practitioner | 600 Medical Dr, 106, Wentzville, MO 63385-3426 | 2009-07-31 |
| 1730328808 | Robert J Swan Md PC | Family Medicine | 600 Medical Dr, Ste 214, Wentzville, MO 63385-3426 | 2009-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730243 | Jeffery William Ellis | Pharmacist | 1571 Wentzville Parkway, Wentzville, MO 63385 | 2020-11-05 |
| 1487266011 | Jason Wade Moore | Peer Specialist | 5 West Pearce Boulevard, Wentzville, MO 63385 | 2020-08-17 |
| 1265906176 | Montrice M Haynes | Counselor | 500 Medical Dr., Central Intake, Wentzville, MO 63385 | 2019-01-14 |
| 1841718459 | Linda Duree | Counselor | 7105 Whisper Creek Dr, Wentzville, MO 63385 | 2017-09-03 |
| 1811349368 | Sara Kleinlein | Social Worker | 500 Medical Drive, Wentzville, MO 63385 | 2016-07-08 |
| 1275980757 | Teona Moeller | Nurse Practitioner | 1598 West Meyer Dr., Wentzville, MO 63385 | 2016-05-16 |
| 1831561273 | Jay F. Hauser, Dds, PC | Dentist | 11 Wentzville Bluffs Drive, Wentzville, MO 63385 | 2015-10-26 |
| 1720402035 | Shara Kuehl | Speech-Language Pathologist | One Campus Drive, Wentzville, MO 63385 | 2014-02-06 |
| 1336480474 | Simply Loyal In Home and Transport Services LLC | Home Health | 152 Enterprise Dr, Wentzille, MO 63385 | 2013-03-14 |
| 1750641338 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1849 Wentzville Parkway, Wentzville, MO 63385 | 2012-05-17 |
| Find all providers in zip 63385 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114164977 | Ursula Wiese Marsh | Psychologist | 219 Creekside Office Drive, Wentzville, MO 63385-3290 | 2009-01-15 |
| 1538243571 | St Charles West Psychological | Psychologist | 600 Medical Dr Ste 205, Wentzville, MO 63385-3426 | 2006-10-25 |
| 1053895185 | Andrew Peter Wislocki | Psychologist | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2018-09-25 |
| 1154829851 | Cynthia L Mueller | Psychologist | 1032 Crosswinds Ct, Wentzville, MO 63385 | 2018-01-28 |
| 1457809717 | Kristine Noer Peterson | Psychologist | 1032 Crosswinds Ct, Wentzville, MO 63385-4836 | 2016-09-15 |
| 1114384815 | David E Peaco,phd,llc | Psychologist | 600 Medical Dr Ste 205, Wentzville, MO 63385-3426 | 2016-01-26 |
| 1295826451 | Rosemarie Kugler | Psychologist | 1032 Crosswinds Ct, Wentzville, MO 63385 | 2006-09-27 |
| 1336162536 | Kimberly A Sloan | Psychologist | 600 Medical Dr, Ste 205, Wentzville, MO 63385 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911370 | Sarah Marie Whitman | Psychologist | 500 Huber Park Ct Ste 205, Weldon Spring, MO 63304-8683 | 2020-10-27 |
| 1215541040 | Charles A Burgess | Psychologist | 119 Parker Hall, Columbia, MO 65211-2340 | 2020-08-31 |
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1174147649 | Melissa Turkel | Psychologist | 915 N Grand Blvd # 116-jc, Saint Louis, MO 63106-1621 | 2020-06-01 |
| 1851910335 | Columbia Psychology Healing Center LLC | Psychologist | 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 | 2020-04-14 |
| 1629600085 | Dr Richard Heise LLC | Psychologist | 10621 Midland Manor Ct, Saint Louis, MO 63114-1202 | 2020-02-04 |
| 1598302226 | Taylor Montgomery | Psychologist | 12837 Flushing Meadows Dr Ste 220, Saint Louis, MO 63131-1824 | 2019-12-02 |
| 1528523420 | Daniel Franco | Psychologist | 4501 Kentsfield Ln, Columbia, MO 65201-3587 | 2019-02-05 |
| 1265917884 | Gillian Sloane Mayersohn | Psychologist | 1 Childrens Pl Ste 3n14, Saint Louis, MO 63110-1002 | 2018-09-28 |
| 1215421581 | Samuel L Kramer | Psychologist | 16216 Baxter Rd Ste 205, Chesterfield, MO 63017-4778 | 2018-06-19 |
| Find all providers with the same taxonomy | ||||
| City | WENTZVILLE |
| Zip Code | 63385 |
Please comment or provide details below to improve the information on MR. DAVID E PEACO.
| 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.