Peak Medical Clinic, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PEAK MEDICAL CLINIC, LLC

Practice address

1486 E Skyline Dr Ste 200
Ogden, UT 84405-4863

Phone

(801) 436-5937

Fax

(801) 610-7823

NPI assigned

Dec 6, 2021

Organization subpart

No

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

Authorized official

Name

Charise Carlson, ATTORNEY

Title

Managing Member

Phone

(907) 252-6357

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1336807486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 E SKYLINE DR STE 200",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054863",
            "telephone_number": "801-436-5937",
            "fax_number": "801-610-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1486 E SKYLINE DR STE 200",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054863",
            "telephone_number": "801-436-5937",
            "fax_number": "801-610-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "CHARISE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "907-252-6357",
        "authorized_official_credential": "ATTORNEY"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madisen Katherine Payne, MSW, CSW
• Dolly Louise Peach, M.D.
• Alexia Peacock
• Robin Ross Peacock, LSAC
• Peak Health Clinic LLC
• Peak Medical of Utah, LLC
• Peaks Advanced Medical
• Kaitlyn Pearl
• Angela Pearson
• Stephanie Kathleen Peart

• Durable Medical Equipment & Medical Supplies in Ogden, UT
• Providers in Ogden, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.