MARK D. PEACOCK MD PC (NPI# 1194995423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194995423 |
| Entity Type | Organization |
| Organization Name | MARK D. PEACOCK MD PC |
| Practice Address |
16623 Birkdale Cmns Pkwy Suite 130 Huntersville NC 28078-5621 |
| Practice Telephone | 7048967005 |
| Practice Fax Number | 7048967115 |
| Mailing Telephone | 7048967005 |
| Mailing Fax Number | 7048967115 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2010-04-05 |
| Authorized Official Name | DR. MARK DOUGLAS PEACOCK (OWNER) |
| Authorized Official Telephone | 7048967005 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 30568 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
16623 BIRKDALE CMNS PKWY SUITE 130 |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376696062 | Cmc-northeast, Inc | Pediatrics | 16623 Birkdale Cmns Pkwy, Suite 110, Ne Pediatric Endo, Huntersville, NC 28078-5621 | 2007-01-18 |
| 1023161726 | Cmc-northeast, Inc. | Pediatrics | 16623 Birkdale Cmns Pkwy, Suite 110 Pediatric Pavilion At Huntersville, Huntersville, NC 28078-5621 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588671671 | Womens Care Center, PC | Obstetrics & Gynecology | 10235 Hickorywood Hill Ave, Huntersville, NC 28078-3432 | 2006-08-02 |
| 1437198116 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 14330 Oak Hill Park Ln, Suite 100, Huntersville, NC 28078-3409 | 2006-06-06 |
| 1699734848 | Mark D Peacock | Obstetrics & Gynecology | 15940 Northcross Dr, Suite C, Huntersville, NC 28078-5062 | 2006-03-17 |
| 1427050889 | Beverly Ann Belle | Obstetrics & Gynecology | 14330 Oakhill Park Ln Ste 200, Huntersville, NC 28078-3407 | 2005-08-15 |
| 1831198308 | Angela Doty | Obstetrics & Gynecology | 9726 Sam Furr Rd, Huntersville, NC 28078-8218 | 2005-07-18 |
| 1730709429 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 9726 Sam Furr Rd, Huntersville, NC 28078-8218 | 2020-04-22 |
| 1780141598 | Novant Medical Group, Inc | Obstetrics & Gynecology | 14330 Oakhill Park Ln Ste 200, Huntersville, NC 28078-3407 | 2019-02-28 |
| 1265929400 | Novant Medical Group, Inc | Obstetrics & Gynecology | 10030 Gilead Rd, Huntersville, NC 28078-7545 | 2018-04-13 |
| 1396108411 | Jheel Shah | Obstetrics & Gynecology | 14330 Oakhill Park Ln Ste 200, Huntersville, NC 28078-3407 | 2016-04-05 |
| 1104207802 | Margeaux Roman Mcgraw | Obstetrics & Gynecology | 14330 Oakhill Park Ln Ste 200, Huntersville, NC 28078-3407 | 2015-06-18 |
| Find all providers in HUNTERSVILLE | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
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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.