JENNIFER K PECK (NPI# 1154407757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154407757 |
| Entity Type | Individual |
| Full Name | JENNIFER K PECK |
| Credential | PA-C |
| Practice Address |
3401 Enterprise Pkwy Suite 300 Beachwood OH 44122-7341 |
| Practice Telephone | 2168315700 |
| Mailing Telephone | 2168315700 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1072660 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336760388 | Jennifer Faith Peck | Social Worker | 952 S Pearl St Apt 3, Denver, CO 80209-4227 | 2020-04-30 |
| 1043786031 | Jennifer Peck | Social Worker | 28 W Shortcut Rd, Newport, PA 17074-8721 | 2018-10-17 |
| 1326286246 | Jennifer Peck | Counselor | 7513 Court Street, Elizabethtown, NY 12932-0008 | 2009-01-30 |
| 1497968051 | Jennifer Kristin Peck | Occupational Therapist | 15600 San Pedro Ave Ste 307, San Antonio, TX 78232-3739 | 2007-05-08 |
| 1144367616 | Jennifer Elizabeth Peck | Social Worker | 2000 W South Boulder Rd, Lafayette, CO 80026-1389 | 2007-01-31 |
| Street Address |
3401 ENTERPRISE PKWY SUITE 300 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-7341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437867 | Michael A Novak | Ophthalmology | 3401 Enterprise Pkwy, Suite 300, Beachwood, OH 44122-7344 | 2005-06-20 |
| 1740806603 | Kristin Burmeister | Social Worker | 3401 Enterprise Pkwy, Beachwood, OH 44122-7341 | 2020-06-17 |
| 1013565910 | Lauren Scott Butler | Counselor | 3401 Enterprise Pkwy, Beachwood, OH 44122-7341 | 2019-09-04 |
| 1083275754 | Natasha Wilcox | Dietitian, Registered | 3401 Enterprise Pkwy, Beachwood, OH 44122-7341 | 2019-06-24 |
| 1932769767 | Jessica A Pope | Student in an Organized Health Care Education/Training Program | 3401 Enterprise Pkwy, Beachwood, OH 44122-7341 | 2019-06-14 |
| 1881132066 | Omega Home Health, Inc | Home Health | 3401 Enterprise Pkwy, Suite 340, Beachwood, OH 44122-7341 | 2017-02-07 |
| 1962949750 | Aligned Health Center Beachwood, LLC | Chiropractor | 3401 Enterprise Pkwy, Suite 110, Beachwood, OH 44122-7341 | 2017-01-31 |
| 1063865764 | Leah Fulton | Physician Assistant | 3401 Enterprise Pkwy, Suite 300, Beachwood, OH 44122-7341 | 2016-07-18 |
| 1427419845 | Kuwanna Deaver | Nurse Practitioner | 3401 Enterprise Pkwy, Beachwood, OH 44122-7341 | 2016-03-12 |
| 1114391331 | Amanda Renee Movens | Physician Assistant | 3401 Enterprise Pkwy, Suite 300, Beachwood, OH 44122-7341 | 2015-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932209681 | John G. Sternen | Physician Assistant | 1000 Auburn Dr # 200, Beachwood, OH 44122-4317 | 2006-09-23 |
| 1720052491 | Allyson Leigh Skebe | Physician Assistant | 3755 Orange Pl Ste 101, Beachwood, OH 44122-4455 | 2006-02-17 |
| 1578003802 | Michelle M Ford | Physician Assistant | 3755 Orange Pl Ste 101, Beachwood, OH 44122-4455 | 2017-03-06 |
| 1790884625 | Susan Clark Rath | Physician Assistant | 3401 Enterprise Pkwy, Suite 300, Beachwood, OH 44122-7341 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
| 1811469968 | Cody Tyler Delaney | Physician Assistant | 1711 27th St Ste 306, Portsmouth, OH 45662-2669 | 2018-12-28 |
| 1861936155 | Surgical Fusion, LLC | Physician Assistant | 605 N High St # 237, Columbus, OH 43215-2024 | 2016-12-06 |
| 1225481690 | Rebekah Keesee | Physician Assistant | 1045 Arundel Ave, Westerville, OH 43081-1188 | 2016-07-20 |
| 1568814382 | Kristen Cipolla | Physician Assistant | 1049 Scarlet Oak Dr Apt D, Hudson, OH 44236-4542 | 2016-07-05 |
| 1932560083 | Adam Peckinpaugh | Physician Assistant | 2109 Hughes Drive #450, Jobst Vascular Institute, Toledo, OH 43606-5102 | 2016-03-17 |
| 1710348701 | Alex Blake | Physician Assistant | 10743 S State Route 133, Blanchester, OH 45107-9435 | 2016-03-17 |
| 1215319926 | Richard Alan Stevenson | Physician Assistant | 187 Vine St, Fairborn, OH 45324-3324 | 2015-06-18 |
| 1548641038 | Matthew Hamley | Physician Assistant | 2315 Birch Trace Dr, Youngstown, OH 44515-4914 | 2015-06-10 |
| 1588094148 | Kevin W. Rotondo | Physician Assistant | 1732 Maple St, Wickliffe, OH 44092-2423 | 2013-11-19 |
| Find all providers with the same taxonomy | ||||
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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.