Lauren A Peck, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35-06-4930 Issued in OH

Practice address

11258 Lebanon Rd
Cincinnati, OH 45241-2214

Phone

(513) 563-0044

Fax

(513) 563-0061

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lauren A Shaw Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Liberty Sharonville Pediatrics

  • Specialist
  • Cincinnati, OH
  • NPI 1356409718
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1073508362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 WOODLANDS PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412441",
            "telephone_number": "513-563-0044",
            "fax_number": "513-563-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11258 LEBANON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412214",
            "telephone_number": "513-563-0044",
            "fax_number": "513-563-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "LAUREN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-06-4930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0919537",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "SHAW",
            "middle_name": "A",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Elise Peck, MD
• Brittany Nicole Peck, PC
• Derrick H Peck, DDS
• Fred H Peck, D.D.S.
• Hannah Renee Peck
• Madison Peck, PT, DPT
• Rachael Peck
• Rebecca Peconom Heinle
• Ernest Pedapati, M.D.
• Pediatric Associates of Cincinnati, Inc

• Pediatrics Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.