DR. PETER J. STRUCK (NPI# 1972893238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972893238 |
| Entity Type | Individual |
| Full Name | DR. PETER J. STRUCK |
| Credential | MD |
| Practice Address |
1400 E. Kincaid Street Mount Vernon WA 98274-4127 |
| Mailing Address |
1400 E. Kincaid St. Attn: Credentialing Mount Vernon WA 98274-4127 |
| Practice Telephone | 3604282550 |
| Practice Fax Number | 3604286402 |
| Mailing Telephone | 3604282500 |
| Mailing Fax Number | 3604286485 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2012-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD60290477 | WA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1400 E. KINCAID STREET |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982400 | Jon C Ransom | Specialist | 1400 E. Kincaid Street, Mount Vernon, WA 98274-4127 | 2005-06-17 |
| 1326309113 | Megan M. Irwin | Physician Assistant | 1400 E. Kincaid Street, Mount Vernon, WA 98274-4126 | 2012-06-07 |
| 1609171347 | Laura S. Grantham | Specialist/Technologist | 1400 E. Kincaid Street, Mount Vernon, WA 98274-4127 | 2011-01-11 |
| 1811153414 | Rowena N. Pusateri | Pediatrics | 1400 E. Kincaid Street, Mount Vernon, WA 98274-4127 | 2008-08-03 |
| 1326205980 | Taras P. Kindrat | Legal Medicine | 1400 E. Kincaid Street, Mount Vernon, WA 98274-4127 | 2008-05-21 |
| 1386819449 | Sandeep Bal | Internal Medicine | 1400 E. Kincaid Street, Mount Vernon, WA 98274-4127 | 2008-04-29 |
| 1073713186 | Sheila M Kenning | Nurse Practitioner | 1400 E. Kincaid Street, Mount Vernon, WA 98274 | 2007-07-18 |
| 1770794331 | Oscar J. Briseno Jr. | Internal Medicine | 1400 E. Kincaid Street, Mount Vernon, WA 98274 | 2007-05-25 |
| 1306052006 | Tara L. Montgomery | Emergency Medicine | 1400 E. Kincaid Street, Mount Vernon, WA 98274-4127 | 2007-05-16 |
| 1770624595 | Scott R. Rennie | Family Medicine | 1400 E. Kincaid Street, Mount Vernon, WA 98274-4127 | 2007-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487645776 | Tomasz A Kosierkiewicz X | Psychiatry & Neurology | 2605 Main St, Mount Vernon, IL 62864-2372 | 2005-11-04 |
| 1437401072 | Asok K Lahiri Md PC | Psychiatry & Neurology | 12 N 7th Ave, 5th Floor, Mount Vernon, NY 10550-2026 | 2012-10-05 |
| 1487924254 | Kathryn Anne Roberts | Psychiatry & Neurology | 1400 E Kincaid St, Mount Vernon, WA 98274 | 2012-01-10 |
| 1700848405 | Asok Lahiri | Psychiatry & Neurology | 12 N 7th Ave, 5th Floor, Mount Vernon, NY 10550-2026 | 2006-04-06 |
| 1215998125 | Patti Jo Brettell | Psychiatry & Neurology | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2006-03-30 |
| 1720079015 | Mt Vernon Neurology, S.c. | Psychiatry & Neurology | 2605 Main St, Mount Vernon, IL 62864-2372 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1760024632 | Ethan Budd Russo | Psychiatry & Neurology | 20402 81st Avenue Sw, Vashon, WA 98070-6253 | 2019-10-12 |
| 1730683053 | Selkirk Neurology Pllc | Psychiatry & Neurology | 610 S Sherman St Ste 201, Spokane, WA 99202-1342 | 2018-03-21 |
| 1881116341 | William Russell Schmidt | Psychiatry & Neurology | 12207 243rd Pl Ne, Redmond, WA 98053-5685 | 2017-07-16 |
| 1568872281 | Marie-sarah Gagne Brosseau | Psychiatry & Neurology | 1536 N 115th Street, Suite 130, Seattle, WA 98133 | 2014-05-02 |
| 1972920049 | Anusha Mannava | Psychiatry & Neurology | 1100 Goethals Dr Ste D, Richland, WA 99352 | 2014-03-26 |
| 1275954646 | George Delyanis | Psychiatry & Neurology | 1220 Ventura Dr, Tacoma, WA 98465-1240 | 2014-01-02 |
| 1326381500 | Jill Kaspar Baird | Psychiatry & Neurology | 2121 Ne 139th St Ste 205, Vancouver, WA 98686-2316 | 2013-04-05 |
| 1124361993 | Malveeka Sharma | Psychiatry & Neurology | 325 9th Ave Rm 3ct70, Seattle, WA 98104 | 2013-03-31 |
| 1124367776 | Tilahun Haile Abraha | Psychiatry & Neurology | 317 Nine Bark St Nw, Olympia, WA 98502-8709 | 2013-02-01 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
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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.