Craig A Peck (NPI# 1811996176, PAC ID# 6901945963) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1811996176 |
| PAC ID by PECOS | 6901945963 |
| Professional Enrollment ID | I20091203000685 |
| Full Name | Craig A Peck |
| Organization Legal Name | MCKENZIE PHYSICIAN SERVICES LLC |
| Address |
4480g Hwy 101 Florence OR 97439-8910 |
| Phone Number | 5417446172 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254307994 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380020 | MCKENZIE-WILLAMETTE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4480g Hwy 101, Florence, OR 97439-8910 | 5417446172 | MCKENZIE PHYSICIAN SERVICES LLC |
| 960 N 16th St, Suite 304, Springfield, OR 97477-4175 | 5417446172 | MCKENZIE PHYSICIAN SERVICES LLC |
| Organization Legal Name | MCKENZIE PHYSICIAN SERVICES LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Martin | Nurse Practitioner | Mckenzie Physician Services LLC | 960 N 16th St, Suite 200, Springfield, OR 97477-4175 |
| John Egar | Internal Medicine | Mckenzie Physician Services LLC | 705 9th St, Florence, OR 97439-8479 |
| Kristen Dodd | Physician Assistant | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Kimya Nguyen | Gastroenterology | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Jose Viramontes | Vascular Surgery | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Teresa Meagher Lanier | Family Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Ian L Liao | Internal Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Mhd Tarek Nashawi | Internal Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Patrick J Bergin | Interventional Cardiology | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| John M Armitage | Cardiac Surgery | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Street Address |
4480G HWY 101 |
| City | FLORENCE |
| State | OR |
| Zip | 97439-8910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda M Bono | Nurse Practitioner | Icco LLC | 4480 Hwy 101 N, Florence, OR 97439 |
| David N Esrig | Urology | Oregon Urology Institute PC | 1441 7th Ave A, Florence, OR 97439 |
| Brady R Walker | Urology | Oregon Urology Institute PC | 1441 7th Ave A, Florence, OR 97439 |
| Thomas A Kollmorgen | Urology | Oregon Urology Institute PC | 1441 7th Ave A, Florence, OR 97439 |
| Bryan A Mehlhaff | Urology | Oregon Urology Institute PC | 1441 7th Ave A, Florence, OR 97439 |
| Roger M Mckimmy | Urology | Oregon Urology Institute PC | 1441 7th Ave A, Florence, OR 97439 |
| Teresa Faillace | Clinical Social Worker | 1932 Pine St, Suite B 3, Florence, OR 97439-4705 | |
| Justin Thomas Mans | Optometry | Raymond G Mans Od PC | 535 9th St, Florence, OR 97439-7388 |
| Julie A.c. Kittock | Optometry | Raymond G Mans Od PC | 535 9th St, Florence, OR 97439-7388 |
| Robert A Mans | Optometry | Raymond G Mans Od PC | 535 9th St, Florence, OR 97439-7388 |
| Find all physicians in zip 97439 | |||
| City | FLORENCE |
| Zip Code | 97439 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FLORENCE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Craig A Peck.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.