DANIEL PECKENPAUGH (NPI# 1053387829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053387829 |
| Entity Type | Individual |
| Full Name | DANIEL PECKENPAUGH |
| Credential | MD |
| Practice Address |
1545 E Southlake Blvd Southlake TX 76092-6422 |
| Mailing Address |
Po Box 720508 Norman OK 73070-4373 |
| Practice Telephone | 8177488700 |
| Mailing Telephone | 8774854474 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2019-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | F7040 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1545 E SOUTHLAKE BLVD |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385456 | Stefanie N Sanderson | Physician Assistant | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2005-06-09 |
| 1770017600 | Valeria Simone, Md Pllc | Surgery | 1545 E Southlake Blvd, Suite 140, Southlake, TX 76092-6422 | 2017-04-18 |
| 1477000636 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 1545 E Southlake Blvd, Southlake, TX 76092-6422 | 2016-09-06 |
| 1033585039 | Whitney Holmans | Physical Therapist | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2015-08-13 |
| 1598172033 | Southlake Emergicare Pllc | Emergency Medicine | 1545 E Southlake Blvd, Er Dept, Southlake, TX 76092-6422 | 2014-07-16 |
| 1083029904 | Rebecca Miller | Physical Therapy Assistant | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2014-06-30 |
| 1417214057 | Pinnacle Anesthesia Consultants Pa | Physician Assistant | 1545 E Southlake Blvd, Suite 220, Southlake, TX 76092-6422 | 2012-04-20 |
| 1376848895 | Michael L Matthews | Physical Therapist | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2011-01-13 |
| 1386969814 | David G Garrigues | Physical Medicine & Rehabilitation | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2010-03-26 |
| 1487984985 | Rebecca P Hornsby | Physical Therapist | 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6422 | 2010-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| 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 |
|---|---|---|---|---|
| 1871986109 | Clinic 21 of Tarrant County, Pllc | Emergency Medicine | 431 E. State Highway 114 Suite 120, Southlake, TX 76092-4407 | 2015-03-11 |
| 1134532435 | Tyler Beranek | Emergency Medicine | 709 Winding Ridge Trl, Southlake, TX 76092 | 2014-06-04 |
| 1457471484 | Kristina Marie Dennington | Emergency Medicine | 630 N Kimball Avenue, Ste #100, Southlake, TX 76092-9255 | 2007-03-31 |
| 1417061607 | Kent Alan Taub | Emergency Medicine | 613 Fairway View Ter, Southlake, TX 76092-9550 | 2006-08-18 |
| 1659328060 | Richard Jackson | Emergency Medicine | 505 Regency Xing, Southlake, TX 76092-9501 | 2006-05-30 |
| 1750872107 | Live Oak Emergency Physicians Pllc | Emergency Medicine | 421 E State Highway 114, Southlake, TX 76092-3635 | 2018-05-22 |
| 1598172033 | Southlake Emergicare Pllc | Emergency Medicine | 1545 E Southlake Blvd, Er Dept, Southlake, TX 76092-6422 | 2014-07-16 |
| 1568538221 | James Alan Dennington | Emergency Medicine | 630 N Kimball Ave, Ste#100, Southlake, TX 76092-9255 | 2006-11-27 |
| 1255363099 | Michelle M Mckane | Emergency Medicine | 2727 E Southlake Blvd, Southlake, TX 76092-6613 | 2006-07-06 |
| 1215903075 | Robert Frank Lutz IIi | Emergency Medicine | 1545 E Southlake Blvd, Southlake, TX 76092-6422 | 2006-02-23 |
| Find all providers in SOUTHLAKE | ||||
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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.