JOHN W. PECK II, M.D. INC (NPI# 1982704623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982704623 |
| Entity Type | Organization |
| Organization Name | JOHN W. PECK II, M.D. INC |
| Practice Address |
2212 Mifflin Ave Ste 130 Ashland OH 44805-8848 |
| Mailing Address |
Po Box 22958 Cleveland OH 44122-0958 |
| Practice Telephone | 4192896000 |
| Practice Fax Number | 4192896010 |
| Mailing Telephone | 2165959600 |
| Mailing Fax Number | 2165959601 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2015-04-23 |
| Authorized Official Name | DR. JOHN W PECK II (PRESIDENT) |
| Authorized Official Telephone | 4192896000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
2212 MIFFLIN AVE STE 130 |
| City | ASHLAND |
| State | OH |
| Zip Code | 44805-8848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972580595 | Karin Diann Schwan | Nurse Practitioner | 2212 Mifflin Ave, Suite 220, Ashland, OH 44805-8848 | 2005-12-23 |
| 1558986596 | Brianna Buckley | Optometrist | 2212 Mifflin Ave, Ashland, OH 44805-8848 | 2020-06-16 |
| 1124464409 | Ashley R Blake | Audiologist-Hearing Aid Fitter | 2212 Mifflin Ave, Suite 130, Ashland, OH 44805-8848 | 2013-05-14 |
| 1790952604 | David Michael Godfrey | Orthopaedic Surgery | 2212 Mifflin Ave, Suite 220, Ashland, OH 44805-8848 | 2008-05-09 |
| 1164694436 | Pam Oliver | Audiologist-Hearing Aid Fitter | 2212 Mifflin Ave, Suite 130, Ashland, OH 44805-8846 | 2008-03-27 |
| 1013189380 | Michelle Meredith | Audiologist-Hearing Aid Fitter | 2212 Mifflin Ave, Suite 130, Ashland, OH 44805-8846 | 2008-03-27 |
| 1891895538 | John W Peck II | Urology | 2212 Mifflin Ave, Suite 130, Ashland, OH 44805-8848 | 2006-09-23 |
| 1922087741 | Dale R Thomae | Internal Medicine | 2212 Mifflin Ave, Suite 220, Ashland, OH 44805-8848 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060549 | The Inn H Ashland Woods Management Company LLC | Assisted Living Facility | 1050 Dauch Dr., Ashland, OH 44805 | 2020-10-13 |
| 1417421488 | Professional Dental Alliance of Ashland, LLC | Dentist | 1860 East Main St., Ashland, OH 44805 | 2019-01-14 |
| 1881164473 | Destiny Dawn Williams | Student in an Organized Health Care Education/Training Program | 1115 Union Street, Ashland, OH 44805 | 2018-11-27 |
| 1992273106 | Marc Schaffer | Occupational Therapist | Kingston of Ashland, 20 Amberwood Parkway, Ashland, OH 44805 | 2018-11-06 |
| 1548777832 | Amy Denise Adkins | Nurse Practitioner | 2021 S Baney Rd, Ashland, OH 44805 | 2018-01-08 |
| 1588171847 | Belinda Foster | Pharmacist | 419 Claremont Ave, Ashland, OH 44805 | 2018-01-08 |
| 1851816649 | Heather Donnenwirth | Social Worker | 1763 St. Rt 60, Suite 120, Ashland, OH 44805 | 2017-08-14 |
| 1619498722 | Stephanie Darm | Speech-Language Pathologist | 1407 Claremont Ave, Ashland, OH 44805 | 2017-06-28 |
| 1790219624 | Tracey Renee Thomas | Nurse Practitioner | 651 Us Route 250 E, Ashland, OH 44805 | 2017-04-18 |
| 1689120248 | Pamela Yvonne Lemaster | Counselor | 2233 Rocky Lane, Ashland, OH 44805 | 2016-09-01 |
| Find all providers in zip 44805 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497873657 | Anthony Eugene Way | Urology | 400 Sheridan St, Ashland, OR 97520-1526 | 2007-03-27 |
| 1801859731 | Krishnaswamy Chenroyan Krishnamurthi | Urology | 1941 Baney Road South, Ashland, OH 44805 | 2006-04-11 |
| 1326023110 | Edakkunny W Unnikrishnan | Urology | 900 Saint Christopher Dr, Suite 201, Ashland, KY 41101-7032 | 2005-12-14 |
| 1609863141 | Kenneth N Krutsch | Urology | 2101 Beaser Ave, Annex A, Ashland, WI 54806-3638 | 2005-09-30 |
| 1477550416 | William Charles Thorndyke | Urology | 336 29th St, Ashland, KY 41101-1900 | 2005-07-06 |
| 1447511332 | Jeremy Bonzo | Urology | 336 29th St Ste 101, Ashland, KY 41101-1976 | 2012-06-06 |
| 1285916916 | Kings Daughters Medical Specialties Inc. | Urology | 2245 Winchester Ave Ste 1, Ashland, KY 41101-7848 | 2011-09-20 |
| 1013182443 | Justin Kevin Dixon | Urology | 336 29th St, Ashland, KY 41101-1900 | 2008-04-27 |
| 1679764534 | Brian Philip Defade | Urology | 1101 Saint Christopher Dr, Ashland, KY 41101-7087 | 2007-08-06 |
| 1194945956 | E.w. Unnikrishnan M.d. Psc | Urology | 900 Saint Christopher Dr, Suite 201, Ashland, KY 41101-7090 | 2007-04-26 |
| Find all providers in ASHLAND | ||||
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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.