MARGARET ELIZABETH PEKLO (NPI# 1417421405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417421405 |
| Entity Type | Individual |
| Full Name | MARGARET ELIZABETH PEKLO |
| Credential | NP |
| Practice Address |
4100 Lake Dr Se Ste 205 Grand Rapids MI 49546-8292 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162677414 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704295329 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4100 LAKE DR SE STE 205 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699001156 | Thomas Jay Beverwyk | Physician Assistant | 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 | 2009-10-19 |
| 1265073027 | Jared Thomas Courtright | Physician Assistant | 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 | 2019-10-03 |
| 1225596588 | Sheila Marie Zank | Nurse Practitioner | 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 | 2019-03-06 |
| 1588031256 | Sarah Catherine Roy | Nurse Practitioner | 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 | 2015-08-28 |
| 1861890683 | Sandra Lynn Allen | Physician Assistant | 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 | 2014-12-10 |
| 1871995399 | Brittany Mara Dean | Physician Assistant | 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 | 2014-09-17 |
| 1104247410 | Ross Reynolds | Physician Assistant | 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 | 2014-01-05 |
| 1760724132 | Matthew James Nelson | Internal Medicine | 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 | 2013-03-22 |
| 1245598820 | Katherine A Kelley | Colon & Rectal Surgery | 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 | 2012-05-02 |
| 1821379132 | David Mark Ophoff | Physician Assistant | 4100 Lake Dr Se Ste 205, Grand Rapids, MI 49546-8292 | 2011-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306318498 | Ashley Marie Jacobson | Nurse Practitioner | 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 | 2018-12-30 |
| 1568931673 | Jennifer Lavigne | Nurse Practitioner | 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 | 2018-11-19 |
| 1851886220 | Laura Maclam | Nurse Practitioner | 524 Marywood Dr Ne, Grand Rapids, MI 49505-4149 | 2018-06-27 |
| 1609482330 | Amy Manderscheid | Nurse Practitioner | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-09-18 |
| 1417563339 | Samantha Marie Utter | Nurse Practitioner | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2020-09-16 |
| 1295343986 | Elizabeth Ann Evans | Nurse Practitioner | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 | 2020-07-19 |
| 1669098935 | Andrea Lynn Giffel | Nurse Practitioner | 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503-2563 | 2020-06-22 |
| 1326672767 | Andrea Patrice Sewell | Nurse Practitioner | 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 | 2020-02-25 |
| 1356971261 | Sarah Marie Nava | Nurse Practitioner | 100 Michigan St Ne # Mc019, Grand Rapids, MI 49503-2560 | 2020-01-20 |
| 1790323970 | Joshua Dennis Witherspoon | Nurse Practitioner | 7751 Byron Center Ave Sw, Suite C, Grand Rapids, MI 49351 | 2019-12-18 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on MARGARET ELIZABETH PEKLO.
| 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.