CHARLES A PECK


Address: 10901 W 120th Ave, Broomfield, CO 80021-3418
Phone: 7203048941

CHARLES A PECK (NPI# 1912205840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912205840
Entity Type Individual
Full Name CHARLES A PECK
Credential MD
Practice Address 10901 W 120th Ave
Broomfield
CO 80021-3418
Mailing Address 2872 Gemini Loop
Broomfield
CO 80023-4678
Practice Telephone 7203048941
Mailing Telephone 6505156301
Enumeration Date 2011-03-01
Last Update Date 2011-03-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
MD432063 PA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH DEA AP2835190 01

Other Providers CHARLES PECK

NPI Name Taxonomy Address Enumeration
1063446664 Charles Curtis Peck Pharmacist Us Route 220, Tipton, PA 16684 2006-07-10
1942703608 Charles A Peck Social Worker 180 Fairfield Ave, Bridgeport, CT 06604 2018-03-08
1922210426 Charles Jeffery Peck Psychiatry & Neurology 2135 Southgate Road, Colorado Springs, CO 80906-2605 2007-05-04

Office Location

Street Address 10901 W 120TH AVE
City BROOMFIELD
State CO
Zip Code 80021-3418

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NPI Name Taxonomy Address Enumeration
1790151793 Martin Gaffey IIi Physical Therapist 10901 W 120th Ave, Suite 380, Broomfield, CO 80021-3418 2015-08-13

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588801377 Children's North Surgery Center, LLC Clinic/Center 469 W. State Highway 7, Suite 2, Broomfield, CO 80023-8965 2009-01-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043819873 Lone Tree Surgery Center, LLC Clinic/Center 9218 Kimmer Dr Ste 101, Lone Tree, CO 80124-6733 2020-10-22
1770180986 Audubon Ambulatory Surgery Center LLC Clinic/Center 6011 E Woodmen Rd Ste 200, Colorado Springs, CO 80923-2604 2020-10-01
1376155440 Colorado Urologic Surgery Center, LLC Clinic/Center 3 Superior Dr Ste 301, Superior, CO 80027-8655 2020-08-20
1548870603 Durango Surgery Center LLC Clinic/Center 1266 Escalante, Suite 101, Durango, CO 81303 2020-08-04
1366064032 Care Dental Surgical Center of Denver LLC Clinic/Center 1111 S Abilene Ct, Aurora, CO 80012-4909 2020-05-15
1790320612 Gs Campus Asc, LLC Clinic/Center Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 2019-11-14
1821642661 Steamboat Surgery Center, LLC Clinic/Center 705 Marketplace Plz Ste 150, Steamboat Springs, CO 80487-1800 2019-07-30
1679134795 Greeley Endoscopy Center, LLC Clinic/Center 8227 W 20th St, Greeley, CO 80634-3039 2019-06-28
1912460015 Premier Eye Surgery Center of Colorado, LLC Clinic/Center 1050 W. South Boulder Road, Lafayette, CO 80026 2019-04-08
1659842128 Milestone Surgical Center LLC Clinic/Center 9800 Pyramid Ct Ste 300, Englewood, CO 80112-2667 2018-12-10
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Competitor

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City BROOMFIELD
Zip Code 80021

Improve Information

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Dataset Information

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.

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