Active NPI
Paul Eugene Peachey, MD
- Family Medicine Physician
- Vancouver, WA
National Provider Identifier
1245347863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00022364
- Practice address
- 2211 E Mill Plain Blvd
Vancouver, WA 98661-4329 - Phone
- (360) 418-6001
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00022364 | WA | Primary |
Addresses
Primary practice location
2211 E Mill Plain Blvd
Vancouver, WA 98661-4329
Mailing address
2211 E Mill Plain Blvd
Vancouver, WA 98661-4329
Phone (360) 418-6001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1245347863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 E MILL PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986614329",
"telephone_number": "360-418-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 E MILL PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986614329",
"telephone_number": "360-418-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACHEY",
"first_name": "PAUL",
"middle_name": "EUGENE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00022364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
- Peacehealth Networks on Demand, LLC (ZoomCare- Vancouver Waterfront)
- Peacehealth Networks on Demand, LLC (ZoomCare- Salmon Creek)
- Peacehealth Networks on Demand, LLC (ZoomCare- Mill Plain)
- Peacehealth Networks on Demand, LLC (ZoomCare - Grand Central)
- Peach Willow LLC (Peach Willow Spa)
- Peak Developmental Pediatrics, PLLC
- Stephanie Peak, AAC
- Jermaine Laurence Peake, LMP
- Tyler Jay Peake, PA-C
- Andrew Peaker, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.