DR. GRETE AMY PECK (NPI# 1902882921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902882921 |
| Entity Type | Individual |
| Full Name | DR. GRETE AMY PECK |
| Credential | DO |
| Practice Address |
401 Nw 42nd Ave Plantation FL 33317-2835 |
| Mailing Address |
Po Box 17540 Plantation FL 33318-7540 |
| Practice Telephone | 9545875010 |
| Mailing Telephone | 9548382371 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208000000X | Pediatrics | OS5290 | FL | Allopathic & Osteopathic Physicians |
| X | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
OS5290 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
401 NW 42ND AVE |
| City | PLANTATION |
| State | FL |
| Zip Code | 33317-2835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316947500 | Roberta A. Santini | Specialist | 401 Nw 42nd Ave, Plantation, FL 33317 | 2005-07-28 |
| 1467018507 | Fatima Hussain | Physician Assistant | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2019-05-14 |
| 1114426715 | Andrene Reid | Nurse Anesthetist, Certified Registered | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2018-02-08 |
| 1932617214 | Ekaterina Delgado | Nurse Anesthetist, Certified Registered | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2018-01-20 |
| 1013380757 | Meridian Emergency Physicians, LLC | Physician Assistant | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2015-11-03 |
| 1164895066 | Fortis Emergency Physicians, LLC | Physician Assistant | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2015-11-02 |
| 1831507672 | Alesha Daley | Pharmacist | 401 Nw 42nd Ave, Plantation, FL 33317 | 2014-07-24 |
| 1205254737 | Occy Medical | Clinic/Center | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2014-04-02 |
| 1356767651 | Radiology Physician Solutions of Florida, LLC | Radiology | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2014-03-11 |
| 1245656644 | Chickadee Inpatient Services LLC | Emergency Medicine | 401 Nw 42nd Ave, Plantation, FL 33317-2835 | 2014-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468632 | Dr. Amy E. Armada, P.a. | Pediatrics | 1780 Sw 67th Ave, Plantation, FL 33317-5111 | 2020-05-08 |
| 1528613288 | Kidz Care Pediatric Network, LLC | Pediatrics | 4141 Nw 5th St Ste 100, Plantation, FL 33317-2180 | 2019-08-08 |
| 1699154476 | Jamie Mazzurco | Pediatrics | 8430 W Broward Blvd Ste 300, Plantation, FL 33324-2700 | 2015-05-26 |
| 1861735383 | Pediatric Associates of Tampa Bay, LLC | Pediatrics | 900 S Pine Island Rd, #800, Plantation, FL 33324-3920 | 2013-04-03 |
| 1083889257 | Saltzman, Tanis, Pittell, Levin and Jacobson, LLC | Pediatrics | 900 S Pine Island Rd Ste 800, Plantation, FL 33324 | 2008-04-28 |
| 1093936668 | Shirley Campbell-mogg | Pediatrics | 4101 Nw 4th Street, Suite 200, Plantation, FL 33317-2839 | 2007-05-01 |
| 1649308669 | Michelle Anne Kirwan | Pediatrics | 4100 S Hospital Dr Ste 110, Plantation, FL 33317-2831 | 2007-03-01 |
| 1780725929 | Dorothy V Straw | Pediatrics | 4100 Nw 3rd Ct, Suite 110, Plantation, FL 33317-2813 | 2007-02-09 |
| 1598816373 | Alicia Beth Salland | Pediatrics | 220 Sw 84 Avenue, Suite #206, Plantation, FL 33324 | 2007-01-16 |
| 1649337668 | Keith Allen Wintermeyer | Pediatrics | 610 Mockingbird Ln, Plantation, FL 33324-3402 | 2007-01-02 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33317 |
Please comment or provide details below to improve the information on DR. GRETE AMY PECK.
| 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.