DENNIS F PECK (NPI# 1780645366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780645366 |
| Entity Type | Individual |
| Full Name | DENNIS F PECK |
| Credential | MD |
| Practice Address |
413 Lilly Road Ne Providence St Peter Hospital Olympia WA 98506-5166 |
| Mailing Address |
Po Box 3941 Seattle WA 98124-3941 |
| Practice Telephone | 3604919480 |
| Practice Fax Number | 3604594361 |
| Mailing Telephone | 3604597770 |
| Mailing Fax Number | 3604594361 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2007-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
MD00017823 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 203967 | 01 |
| WA | 8101883 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376974535 | Dennis Peck Sr. | Technician/Technologist | 370 Longview Plz, Lexington, KY 40503-1817 | 2013-12-12 |
| 1114942596 | Dennis W Peck | Family Medicine | 1620 Cooper Point Rd Sw, Olympia, WA 98502-5736 | 2006-07-13 |
| Street Address |
413 LILLY ROAD NE PROVIDENCE ST PETER HOSPITAL |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356605794 | Stephen Gunadi | Pharmacist | 413 Lilly Road Ne, Olympia, WA 98506-1380 | 2012-06-29 |
| 1326223801 | Arthur David Siek | Hospitalist | 413 Lilly Road Ne, Olympia, WA 98506-5166 | 2008-01-03 |
| 1174602635 | Nancy Young | Nurse Practitioner | 413 Lilly Road Ne, Sexual Assault Clinic, Olympia, WA 98506 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366871402 | Integrity Pathology LLC | Pathology | 7620 Overlake Dr W, Medina, WA 98039-4733 | 2013-11-08 |
| 1588909998 | James Bellamy | Pathology | 10800 Wachusett Rd, Woodway, WA 98020-6140 | 2012-12-11 |
| 1619273240 | Pakc Dsl Inc Ps | Pathology | 3261 Nw Mount Vintage Way, Suite 301, Silverdale, WA 98383-6039 | 2011-01-29 |
| 1023225489 | Ryuji Ohashi | Pathology | Uwmc Pathology 1959 Ne Pacific, Box356100, Seattle, WA 98195-0001 | 2007-05-16 |
| 1982727608 | Kim D. Jewell | Pathology | 700 Ne 87th Ave # 350, Vancouver, WA 98664-1913 | 2007-04-09 |
| 1033245865 | Aashiyana Faruk Koreishi | Pathology | 1001 Klickitat Way Sw Suite 205, Psip, Seattle, WA 98134 | 2007-02-26 |
| 1861443418 | Monica E. De Baca | Pathology | 4121 48th Ave S, Seattle, WA 98118-1225 | 2006-05-16 |
| 1619929809 | Richard G Patton | Pathology | 2111 N. Northgate Way, #201, Seattle, WA 98133-0160 | 2006-05-16 |
| 1043286016 | Arthur Marc Vogel | Pathology | 6825 216th St Sw, Lynnwood, WA 98036-7379 | 2006-02-28 |
| 1831743608 | Whatcom Pathology, Ps | Pathology | 3614 Meridian St Ste 100, Bellingham, WA 98225-1748 | 2019-07-30 |
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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.