AMY L PECK (NPI# 1912141292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912141292 |
| Entity Type | Individual |
| Full Name | AMY L PECK |
| Credential | CFA |
| Practice Address |
2000 S Wheeling Ave Ste 200 Tulsa OK 74104-5649 |
| Practice Telephone | 9187487584 |
| Practice Fax Number | 9182933116 |
| Mailing Telephone | 9187487584 |
| Mailing Fax Number | 9182933116 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174170682 | Amy Samantha Peck | Nurse Practitioner | 12710 Se Division St, Portland, OR 97236-3134 | 2019-08-20 |
| 1588801252 | Amy Gwen Peck | Dietitian, Registered | 223 Katonah Ave, Suite F, Katonah, NY 10536-2146 | 2009-01-16 |
| 1538267315 | Amy Marie Peck | Social Worker | 933 3 Mile Rd Nw, Grand Rapids, MI 49544-1673 | 2006-09-20 |
| 1134138415 | Amy Michele Peck | Kinesiotherapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2006-08-05 |
| 1649286527 | Amy H Peck | Social Worker | 1501 Sulgrave Ave, 202, Baltimore, MD 21209-3654 | 2006-07-31 |
| Street Address |
2000 S WHEELING AVE STE 200 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627325 | Robert L. Cossman | Internal Medicine | 2000 S Wheeling Ave, Ste 1000, Tulsa, OK 74104-5648 | 2005-05-23 |
| 1740666015 | Jay Williamson Do PC | Obstetrics & Gynecology | 2000 S Wheeling Ave, Ste. 700, Tulsa, OK 74104 | 2015-08-10 |
| 1396123246 | Caleb Eugene Burrows | Otolaryngology | 2000 S Wheeling Ave, Ste 900, Tulsa, OK 74104-5647 | 2015-05-12 |
| 1013314715 | Laura Kerr | Physician Assistant | 2000 S Wheeling Ave, Ste 200, Tulsa, OK 74104-5649 | 2014-11-24 |
| 1093157562 | Vanessa Erin Bennett | Optometrist | 2000 S Wheeling Ave, Ste 1010, Tulsa, OK 74104-5649 | 2013-07-24 |
| 1225320328 | Claire Lukeman Mattocks | Pediatrics | 2000 S Wheeling Ave, Suite 300, Tulsa, OK 74104-5649 | 2011-05-07 |
| 1497046437 | Eric Gregory | Physician Assistant | 2000 S Wheeling Ave, Tulsa, OK 74104-5649 | 2011-04-25 |
| 1396049086 | Kelsey D Wilkins | Physician Assistant | 2000 S Wheeling Ave, Ste 100, Tulsa, OK 74104-5649 | 2011-01-10 |
| 1174824304 | Tulsa Pain Consultants, Inc. | Pain Medicine | 2000 S Wheeling Ave, Suite 600, Tulsa, OK 74104-5649 | 2010-11-04 |
| 1174836241 | Marc A Goldberg Md PC | Eyewear Supplier (Equipment, not the service) | 2000 S Wheeling Ave, Suite 1010, Tulsa, OK 74104-5649 | 2010-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811423783 | Andrew M Lee | Specialist/Technologist, Other | 2717 E 93rd St, Suite 303, Tulsa, OK 74137-4602 | 2017-05-11 |
| 1740713460 | Oswaldo Penissi | Specialist/Technologist, Other | 450 W 7th St Apt 203, Tulsa, OK 74119-1046 | 2017-04-10 |
| 1639600349 | Christopher Andrew Campbell | Specialist/Technologist, Other | 4736 S 168th East Ave, Tulsa, OK 74134-7108 | 2017-03-23 |
| 1538505052 | Delmar Gray | Specialist/Technologist, Other | 1803 S Jackson Ave Apt 27e, Tulsa, OK 74107-1863 | 2013-05-13 |
| 1023369592 | Bobbie L Decker | Specialist/Technologist, Other | 2448 E 81st St Ste 1500, Tulsa, OK 74137-4315 | 2012-09-25 |
| 1275889263 | Arnold P Go | Specialist/Technologist, Other | 13322 E 32nd Pl, Tulsa, OK 74134-4008 | 2012-07-27 |
| 1588955017 | Jill Dione Drummond | Specialist/Technologist, Other | 2664 S Trenton Ave, Tulsa, OK 74114-2728 | 2011-05-02 |
| 1255589974 | Kelley K Borgsmiller | Specialist/Technologist, Other | 6767a S Yale Ave, Tulsa, OK 74136-3302 | 2008-09-05 |
| 1063550770 | Jennifer Partin | Specialist/Technologist, Other | 5874 S Mingo Rd, Tulsa, OK 74146-6425 | 2007-02-02 |
| 1265926539 | Cutting Edge Surgical Assists | Specialist/Technologist, Other | 6161 S Yale Ave, Tulsa, OK 74136-1992 | 2018-06-19 |
| Find all providers in TULSA | ||||
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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.