MICHAEL MCPEAK (NPI# 1699317081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699317081 |
| Entity Type | Individual |
| Full Name | MICHAEL MCPEAK |
| Credential | ATC |
| Practice Address |
1836 S Macarthur Blvd Springfield IL 62704-4030 |
| Mailing Address |
3510 Ferris Dr Decatur IL 62521-9164 |
| Practice Telephone | 2175460512 |
| Practice Fax Number | 2175289854 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096.005058 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467479956 | Michael Mcpeak | Social Worker | 1411 Genesee St, Utica, NY 13501-4343 | 2006-07-17 |
| Street Address |
1836 S MACARTHUR BLVD |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003889411 | Winston J Townsend | Internal Medicine | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2006-02-08 |
| 1912542051 | Stephanie A Olsen | Nurse Practitioner | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2019-11-13 |
| 1598205601 | Nichole Mcmillen | Nurse Practitioner | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2017-03-08 |
| 1952846016 | Megan Adams | Nurse Practitioner | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2016-12-28 |
| 1225415664 | Anne Lunt Hocking | Nurse Practitioner | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2015-05-06 |
| 1720479405 | Christina Skaar | Physician Assistant | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2015-02-17 |
| 1740545441 | Maria Khattak | Family Medicine | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2012-07-09 |
| 1598911281 | Shabaz Gill | Family Medicine | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2008-08-13 |
| 1164612669 | Wendy D Dorworth | Nurse Practitioner | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2007-07-31 |
| 1851503833 | Lavanya Boddu | Emergency Medicine | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051516 | Kangjun Lee | Specialist/Technologist | 901 S. National Ave., Springfield, MO 65897 | 2020-10-20 |
| 1740806413 | Megan Herter | Specialist/Technologist | 1513 Old Ivy Dr, Springfield, IL 62711-8156 | 2020-06-18 |
| 1124649702 | Bridget Fenger | Specialist/Technologist | 521 W Central St, Springfield, MN 56087-1213 | 2020-05-05 |
| 1598302846 | Tamanna Kazi | Specialist/Technologist | 6746 Metropolitan Center Dr Apt 204, Springfield, VA 22150-4582 | 2019-12-05 |
| 1861035172 | Kory Matthew Kasper | Specialist/Technologist | 117 N Pittsburg Lndg, Springfield, IL 62711-8208 | 2019-10-21 |
| 1760037691 | Lauren Potter | Specialist/Technologist | 607 Highland Rd, Springfield, VT 05156-8844 | 2019-08-07 |
| 1033763271 | Ariana Nicole Hetland-purna | Specialist/Technologist | 1045 Grand St (art Annex Building), Springfield, MO 65897-0001 | 2019-07-25 |
| 1962968867 | Chad Michael Linck | Specialist/Technologist | 2125 N Glenstone Ave, Springfield, MO 65802 | 2019-02-15 |
| 1669938080 | Corey Michael Ratsch | Specialist/Technologist | 1116 E Cherry St Rm 300, Springfield, MO 65807-1517 | 2019-02-11 |
| 1164987640 | Emilee Pierce | Specialist/Technologist | 2015 W University St Apt E212, Springfield, MO 65807-7890 | 2019-02-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
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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.