Edwin Louis Peak, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

200200978 Issued in NC

Practice address

2101 N Waldron St
Hutchinson, KS 67502-1197

Phone

(620) 669-2500

Fax

(620) 669-2529

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• DLP Western Carolina Physician Practices LLC

  • Internal Medicine Physician
  • Sylva, NC
  • NPI 1609281641

  Orthopaedic Surgery

  Medicare reassignment NPD
• Williamston Clinic Corp

  • Family Medicine Physician
  • Williamston, NC
  • NPI 1811990443

  Orthopaedic Surgery

  Medicare reassignment NPD
• Joint Replacement Specialists, P.C.

  • Orthopaedic Surgery Physician
  • Hickory, NC
  • NPI 1548296015
  NPD (past) Authorized official
• DLP Western Carolina Physician Practices LLC

  • Diagnostic Radiology Physician
  • Clyde, NC
  • NPI 1932925062
  NPD
• Nathan H. Brandon, MD, LLC

  • Interventional Pain Medicine Physician
  • Evans, GA
  • NPI 1023035003
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1124066568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021197",
            "telephone_number": "620-669-2500",
            "fax_number": "620-669-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021197",
            "telephone_number": "620-669-2500",
            "fax_number": "620-669-2529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 University Pkwy Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298016800",
            "country_code": "US",
            "telephone_number": "803-644-4264",
            "fax_number": "803-293-1523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Northside Forsyth Dr",
            "address_2": "Suite 340",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300416012",
            "country_code": "US",
            "telephone_number": "770-886-8111",
            "fax_number": "770-205-8539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Doctors Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285011584",
            "country_code": "US",
            "telephone_number": "252-522-4446",
            "fax_number": "252-522-4484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2205 N Waldron St",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "KS",
            "postal_code": "675021143",
            "country_code": "US",
            "telephone_number": "620-669-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5500 E Kellogg Dr",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672181607",
            "country_code": "US",
            "telephone_number": "316-685-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEAK",
        "first_name": "EDWIN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "200200978",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "070702",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "200200978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89133CG",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edwinpeak@hcpa.allscripts.net",
            "affiliation": "N",
            "address_1": "2101 N Waldron St",
            "city": "Hutchinson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675021197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kirsten Sue Paulsrud, DPM
• Caitlin Jo Pauly, MD
• Scott Pauly, MD
• Timothy Pauly, MD
• Payton Optical Inc
• Pease & Smith, MD PA
• Pease & Smith, MD,PA
• Gary Lee Pease, MD
• Pediatric Dentistry, LLC
• Penner Counseling Services, LLC

• Orthopaedic Surgery Physician in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Orthopaedic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.