Peckinpaugh Oculoplastic Surgery

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PECKINPAUGH OCULOPLASTIC SURGERY

Practice address

1905 W College St
Bozeman, MT 59718-4061

Phone

(406) 490-9953

Fax

(855) 802-4392

NPI assigned

Jul 14, 2014

Last updated

Sep 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Lawson Peckinpaugh, M.D.NPI 1083817647

Title

President

Phone

(206) 910-2452

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9627/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey L Peckinpaugh, MD

  • Ophthalmology Physician
  • Bozeman, MT
  • NPI 1083817647
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1235546094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 FLORAL BLVD",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014116",
            "telephone_number": "206-910-2452",
            "fax_number": "855-802-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W COLLEGE ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184061",
            "telephone_number": "406-490-9953",
            "fax_number": "855-802-4392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Alpenglow Ln",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "MT",
            "postal_code": "590478506",
            "country_code": "US",
            "telephone_number": "406-490-9953",
            "fax_number": "855-802-4392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Partridge Pl Ste 3",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596020528",
            "country_code": "US",
            "telephone_number": "406-490-9953",
            "fax_number": "855-802-4392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 S Alabama St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597012358",
            "country_code": "US",
            "telephone_number": "406-490-9953",
            "fax_number": "855-802-4392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PECKINPAUGH OCULOPLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "PECKINPAUGH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LAWSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-910-2452",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Anesthesia Services Inc.
• Peak Health & Wellness LLC (Nova Health)
• Kevin M Pearson, D.D.S.
• Rebecka D Pearson, PH.D, LCPC
• Sherri Pearson, RD
• Jeffrey L Peckinpaugh, MD
• Ashley Marie Pecora, DPT
• Pediatric Potentials
• Cristin Peiffer, MS, BCBA
• Jessica Ann Pelton, PA-C

• Ophthalmology Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Ophthalmology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.