MEREDITH L. PEAKE (NPI# 1790729838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790729838 |
| Entity Type | Individual |
| Full Name | MEREDITH L. PEAKE |
| Credential | M.D. |
| Practice Address |
10123 Se Market St Portland OR 97216-2532 |
| Mailing Address |
2374 E Pacifica Pl Rancho Dominguez CA 90220-6214 |
| Practice Telephone | 5032516129 |
| Practice Fax Number | 3106987054 |
| Mailing Telephone | 3102253244 |
| Mailing Fax Number | 3106987054 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2016-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD152960 | OR | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
G57718 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G577180 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124279948 | Meredith Peake | Occupational Therapist | 7733 Forsyth Blvd, Saint Louis, MO 63105-1817 | 2008-10-10 |
| Street Address |
10123 SE MARKET ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801887658 | Portland Adventist Medical Center | General Acute Care Hospital | 10123 Se Market St, Portland, OR 97216 | 2005-11-01 |
| 1619504495 | Sandy Thao Mai Ninh | Pharmacist | 10123 Se Market St, Portland, OR 97216-2532 | 2020-03-24 |
| 1154957298 | Rachel Anne Dalton | Speech-Language Pathologist | 10123 Se Market St, Portland, OR 97216-2532 | 2020-03-20 |
| 1497388797 | Brooke Ottman | Registered Nurse | 10123 Se Market St, Portland, OR 97216-2532 | 2020-02-15 |
| 1316502719 | Portland Adventist Medical Center | Emergency Medicine | 10123 Se Market St, Portland, OR 97216-2532 | 2019-05-01 |
| 1548749096 | Hospitalist Medicine Physicians of Oregon-tcg, PC | Internal Medicine | 10123 Se Market St, Portland, OR 97216-2532 | 2018-08-07 |
| 1144713876 | Patrick Caloz | Physician Assistant | 10123 Se Market St, Portland, OR 97216-2599 | 2018-06-07 |
| 1902304413 | Rachael Veith | Dietitian, Registered | 10123 Se Market St, Portland, OR 97216-2532 | 2018-01-30 |
| 1073027447 | Christine Guppenberger | Physician Assistant | 10123 Se Market St, Portland, OR 97216-2532 | 2017-11-21 |
| 1215459110 | Theresa Lynne Stratton | Registered Nurse | 10123 Se Market St, Portland, OR 97216-2532 | 2017-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1477896975 | Wei Xie | Pathology | 3181 Sw Sam Jackson Rd., Portland, OR 97239-3011 | 2013-04-03 |
| 1114276060 | Joanna Wiszniewska | Pathology | 3181 Sw Sam Jackson Park Rd # L103, Portland, OR 97239-3011 | 2012-09-06 |
| 1629368816 | Aaron Halfpenny | Pathology | 3181 Sw Sam Jackson Park Rd # L-471, Portland, OR 97239-3011 | 2011-04-09 |
| 1568618239 | Cascade Pathology Services, Corp | Pathology | 10340 Sw Nimbus Ave, Suite N-b, Portland, OR 97223-4307 | 2008-08-13 |
| 1508044595 | Reva S. Ricketts-loriaux | Pathology | 3158 Sw Fairmount Blvd, Portland, OR 97239-1467 | 2008-02-01 |
| 1518038363 | Andrew Michael Schreiner | Pathology | 3181 Sw Sam Jackson Park Rd # L113, Portland, OR 97239-3011 | 2006-11-13 |
| 1184735524 | Donna E Hansel | Pathology | 3181 Sw Sam Jackson Park Rd # L-113, Portland, OR 97239-3011 | 2006-08-31 |
| 1689781056 | Chad D Galderisi | Pathology | 1341 Sw Custer Dr, Portland, OR 97219 | 2006-08-23 |
| 1336152735 | Edwin K Chinn | Pathology | 13705 Ne Airport Way, Suite C, Portland, OR 97230-1048 | 2006-08-15 |
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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.