DR. KRISTI KAY PECK (NPI# 1225042310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225042310 |
| Entity Type | Individual |
| Full Name | DR. KRISTI KAY PECK |
| Credential | M.D. |
| Practice Address |
520 Mary Street Suite 520 Evansville IN 47710 |
| Mailing Address |
520 Mary Street Suite 520 Evansville IN 47710-1682 |
| Practice Telephone | 8124248231 |
| Practice Fax Number | 8124358784 |
| Mailing Telephone | 8124248231 |
| Mailing Fax Number | 8124358784 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 01066038A | IN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 4301078644 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100076400 | 05 | |
| IN | 200931320 | 05 | |
| ANTHEM BCBS | 000000603755 | 01 |
| Street Address |
520 MARY STREET SUITE 520 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669614103 | Deaconess Clinic Inc. | Internal Medicine | 520 Mary Street, Suite 140, Evansville, IN 47710-1669 | 2009-03-30 |
| 1437239746 | John Frederick Doepker Jr. | Plastic Surgery | 520 Mary Street, Suite 520, Evansville, IN 47710 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265875769 | John Lawler | Surgery | 520 S Roosevelt Dr, Evansville, IN 47714-1632 | 2013-04-15 |
| 1124027008 | Prasad V Gade | Surgery | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2005-07-21 |
| 1922418375 | Matthew S Field | Surgery | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2014-05-06 |
| 1952711582 | Alex V Baronowsky | Surgery | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2014-05-05 |
| 1124369426 | Surgical Care Associates LLC | Surgery | 801 Saint Marys Dr, Suite 205 W, Evansville, IN 47714-0511 | 2013-03-12 |
| 1669738118 | Mallory Smith Bray | Surgery | 520 Mary St Ste 520, Evansville, IN 47710 | 2012-04-10 |
| 1093028201 | St Mary's Medical Center of Evansville, Inc | Surgery | 3801 Bellemeade Ave, Ste 110, Evansville, IN 47714-0100 | 2010-07-16 |
| 1386872307 | Michael Jon Thomas | Surgery | 901 Saint Marys Dr Ste 300, Evansville, IN 47714 | 2009-06-29 |
| 1457514101 | Andrea L Jester | Surgery | 520 Mary St, Ste 520, Evansville, IN 47710 | 2008-07-02 |
| 1952563926 | Angela Hope Martin | Surgery | 520 Mary St, Ste 520, Evansville, IN 47710 | 2008-06-30 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
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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.