Susan Elizabeth Peck, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

31011 Issued in CO

Practice address

701 E Hampden Ave
Suite 120
Englewood, CO 80113-2736

Phone

(303) 788-5483

Fax

(303) 781-5809

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Susan Peck MD, P.C.

  • Obstetrics & Gynecology Physician
  • Englewood, CO
  • NPI 1922032242
  NPD (past) Authorized official

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1104852169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E HAMPDEN AVE",
            "address_2": "SUITE 120",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132736",
            "telephone_number": "303-788-5483",
            "fax_number": "303-781-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E HAMPDEN AVE",
            "address_2": "SUITE 120",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132736",
            "telephone_number": "303-788-5483",
            "fax_number": "303-781-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "31011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01310119",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael L Pearlman, MD
• Hannah Pearson, PA-C
• Justin Blair Pearson, D.D.S.
• Julie Peck, NP
• Sarah Joy Peck, DPT
• Pediatric Dental Associates of Colorado
• Erika Britt Peksens, BSN
• Pramuk Peliyagoda, DPT
• Kaitlyn Laurel Pell, PA-C
• Jennifer Pelo, LPC

• Obstetrics & Gynecology Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• Obstetrics & Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.