NATHAN M. PECK (NPI# 1972034874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972034874 |
| Entity Type | Individual |
| Full Name | NATHAN M. PECK |
| Practice Address |
1700 13th St Everett WA 98201-1689 |
| Mailing Address |
1000 10th Ave New York NY 10019-1147 |
| Practice Telephone | 4252612000 |
| Mailing Telephone | 2125234000 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD60982993 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 10th Ave, New York, NY 100191147 | 2125234000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679072078 | Nathan Frank Peck | Specialist/Technologist | 123 Lomax St, Boone, NC 28607-7112 | 2018-02-12 |
| Street Address |
1700 13TH ST |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-1689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558444687 | Bridget Springgate Bush | Anesthesiology | 1700 13th St, Everett, WA 98201-1689 | 2006-10-23 |
| 1225644479 | Daniel Carnahan | Nurse Anesthetist, Certified Registered | 1700 13th St, Everett, WA 98201-1689 | 2020-09-22 |
| 1336754159 | Annalisa Stensaa Anderson | Registered Nurse | 1700 13th St, Everett, WA 98201-1689 | 2020-09-09 |
| 1770107799 | Lisa Kaitlyn Azzara | Nurse Anesthetist, Certified Registered | 1700 13th St, Everett, WA 98201-1689 | 2020-06-05 |
| 1134755572 | Sara Kaitlin Gering | Registered Nurse | 1700 13th St, Everett, WA 98201-1689 | 2020-03-17 |
| 1427696236 | Angelica Orozco Kominsky | Student in an Organized Health Care Education/Training Program | 1700 13th St, Everett, WA 98201-1689 | 2019-12-12 |
| 1336786920 | Angela Phoenix Kokinakos | Student in an Organized Health Care Education/Training Program | 1700 13th St, Everett, WA 98201-1689 | 2019-12-03 |
| 1437626231 | Anita Rajwan | Nurse Practitioner | 1700 13th St, Everett, WA 98201-1689 | 2018-10-30 |
| 1528574928 | Jennifer Ann Ross | Social Worker | 1700 13th St, Everett, WA 98201-1689 | 2017-12-20 |
| 1881140440 | Ilina Bucur | Nurse Practitioner | 1700 13th St, Everett, WA 98201 | 2016-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063624146 | Catharine R Keay | Emergency Medicine | 1716 W Marine Dr Ste C, Everett, WA 98201-2098 | 2007-05-03 |
| 1720103534 | Wilfred P Hodgdon | Emergency Medicine | Emer Dept Widden Hosp, 103 Garland Street, Everett, MA 02149 | 2007-03-20 |
| 1376581074 | Antonio L Brandt | Emergency Medicine | 1716 W Marine View Dr, #c, Everett, WA 98201-2098 | 2006-06-03 |
| 1407800550 | Phyllis M Chen | Emergency Medicine | Emergency Dept., Whidden Memorial Hospital, 103 Garland Street, Everett, MA 02149 | 2006-05-22 |
| 1689654212 | Todd M Denkinger | Emergency Medicine | 1716 W Marine View Dr Ste C, Everett, WA 98201-2098 | 2006-01-19 |
| 1336125715 | Jody M Bockrath | Emergency Medicine | 1716 W. Marine View Drive #c, North Sound Emergency Medicine, Everett, WA 98201 | 2005-12-19 |
| 1962498378 | Gary Blair | Emergency Medicine | 103 Garland St, Everett, MA 02149-5066 | 2005-09-21 |
| 1013361518 | Rhadika Mccormick Souza | Emergency Medicine | 1321 Colby Ave, Everett, WA 98201-1665 | 2016-04-20 |
| 1568758308 | Tolulope Oyeyemi Olade | Emergency Medicine | 3927 Rucker Ave, Everett, WA 98201-4833 | 2011-06-20 |
| 1922303478 | Eastside Emergency Physicians, Pllc | Emergency Medicine | 13020 Meridian Ave S, Everett, WA 98208-6422 | 2011-01-13 |
| Find all providers in EVERETT | ||||
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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.