MICHAEL ANDREW PECK (NPI# 1477193597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477193597 |
| Entity Type | Individual |
| Full Name | MICHAEL ANDREW PECK |
| Practice Address |
1724 S Main St Salt Lake City UT 84115-1912 |
| Practice Telephone | 8014865012 |
| Mailing Telephone | 8014865012 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477637130 | Michael Stephan Peck | Chiropractor | 660 W 7th St, San Pedro, CA 90731-3118 | 2006-10-25 |
| 1023026176 | Michael Lloyd Peck | Optometrist | 517 W Maine Ave, Enid, OK 73701-5542 | 2006-08-04 |
| 1881629806 | Michael J Peck | Chiropractor | 1530 Avenue O, Huntsville, TX 77340-4452 | 2006-07-11 |
| 1265825988 | Michael Lawrence Peck | Nurse Practitioner | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2015-03-05 |
| 1861823353 | Michael Peck | Counselor | 122 1st St, Chestertown, MD 21620-1983 | 2013-12-09 |
| 1770712424 | Michael Scott Peck | Podiatrist | 1155 Kelly Johnson Blvd, #310, Colorado Springs, CO 80920-3932 | 2009-07-02 |
| 1881801017 | Michael Wayne Peck | Specialist/Technologist | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2007-05-17 |
| 1255543146 | Michael A. Peck | Dentist | 5038 Tennyson Pkwy, Suite A, Plano, TX 75024-2954 | 2007-05-04 |
| 1740328491 | Michael L Peck | Psychologist | 10642 Santa Monica Blvd, Los Angeles, CA 90025-4525 | 2007-02-02 |
| 1336210806 | Michael Peck | Specialist | 1130 Eagle Rock Rd, Colorado Springs, CO 80918-3906 | 2006-11-13 |
| Street Address |
1724 S MAIN ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205812450 | Jeremy Lee Christensen | Social Worker | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2005-12-20 |
| 1265041255 | Robert Drayna | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2020-07-27 |
| 1811554264 | Jarrod Gardner | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2019-05-21 |
| 1942793328 | Margaret Falcone | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2018-06-11 |
| 1487147765 | Kerry Splitt | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2018-06-11 |
| 1750874137 | Sarah Rebecca Dash | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2018-06-11 |
| 1558858407 | Eryn Wade | Case Manager/Care Coordinator | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2018-04-17 |
| 1114425071 | Maria Angelica Speed | Counselor | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2018-01-25 |
| 1033585765 | Alliance House Inc | Clinic/Center | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2015-08-17 |
| 1104124882 | Amber Mackay | Counselor | 1724 S Main St, Salt Lake City, UT 84115-1912 | 2011-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281818 | Devery White | Case Manager/Care Coordinator | 195 N 1900 W, Salt Lake City, UT 84116 | 2020-10-01 |
| 1326652116 | Brenna Colleen Ball | Case Manager/Care Coordinator | 671 N Oakley St, Salt Lake City, UT 84116-3833 | 2020-08-31 |
| 1437761368 | Tonia Price | Case Manager/Care Coordinator | 625 S 200 E, Salt Lake City, UT 84111-3801 | 2020-08-21 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1619502374 | Bradford Nielson | Case Manager/Care Coordinator | 344 E 100 S # B, Salt Lake City, UT 84111-1700 | 2020-03-03 |
| 1225662521 | Rob Lequia | Case Manager/Care Coordinator | 344 E 100 S # 344e100s, Salt Lake City, UT 84111-1700 | 2020-02-25 |
| 1154970507 | Lori Cerar | Case Manager/Care Coordinator | 230 W 200 S Ste 142, Salt Lake City, UT 84101-1337 | 2019-09-09 |
| 1457907776 | Christina Lee Oppenheimer | Case Manager/Care Coordinator | 230 W 200 S # 142, Salt Lake City, UT 84101-1337 | 2019-08-13 |
| 1184196230 | Roselia Yanella Chavez | Case Manager/Care Coordinator | 1233 W 700 S, Salt Lake City, UT 84104-2657 | 2018-12-28 |
| 1588149132 | Madeleine Smith | Case Manager/Care Coordinator | 344 E 1st S, Salt Lake City, UT 84111-1700 | 2018-09-29 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
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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.