Individual provider Active NPI

Karen Kuo Peck, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Jonesboro, AR
National Provider Identifier
1447275656
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
E4020 Issued in AR
Practice address
333 Red Wolf Blvd
Jonesboro, AR 72405-9739
Phone
(870) 933-1823
NPI assigned
Jul 12, 2006
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X E4020 AR Primary

Addresses

Primary practice location

333 Red Wolf Blvd
Jonesboro, AR 72405-9739

Mailing address

1001 County Road 759
Jonesboro, AR 72405-7742
Phone (870) 268-1377

Other names 1

  • Karen Kuo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050401000947 AR Practitioner - Emergency MedicinePractitioner - Family Practice 3476452244 Reassigns benefits to 3 organizations
I20080814000525 MO Practitioner - Emergency Medicine 3476452244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Missouri, Kansas City, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, shared by 3 NPIs, 211 clinicians

Practice addresses (Care Compare)

1001 W Parker Rd
Jonesboro, AR 72404-9582
Phone (870) 972-8181

1005 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 935-1242

1007 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 336-0472

1312 1St St
Kennett, MO 63857-2526
Phone (573) 559-2780

333 Red Wolf Blvd
Jonesboro, AR 72405-9739
Phone (870) 972-8181

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E4020ARMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc CurrentSince May 27, 2023 Accepting new patients
St Bernards Hospital Inc. CurrentSince Nov 8, 2017 Accepting new patients
St Bernards Physician Clinics, Inc. CurrentSince Jul 15, 2022 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
Doctors Health Group, Inc CurrentSince May 23, 2018 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Jul 15, 2022 Accepting new patients
Northeast Arkansas Clinic, PA Past Accepting new patients
Ascent Group LLC PastSince Jun 14, 2015 Accepting new patients
Kennett Emergency Physicians Past Accepting new patients
Missouri Em-I Medical Services, PC Past Accepting new patients
Caddoes Emergency Physicians LLC Past Accepting new patients
MFHS Physicians' Emergency Services, PC Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

1001 W Parker Rd
Jonesboro, AR 72404
Phone (870) 336-1700

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

333 Red Wolf Blvd
Jonesboro, AR 72405
Phone (870) 207-0405

4000 Linwood Dr
Ste A
Paragould, AR 72450
Phone (870) 239-8503

1312 1st St
Kennett, MO 63857
Phone (573) 559-2780

1312 1st St
Ste B
Kennett, MO 63857
Phone (573) 559-2780

Interoperability endpoints

  • Direct secure messaging: kkuo@sbpc.medalliesdirect.net

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1447275656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 COUNTY ROAD 759",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724057742",
            "telephone_number": "870-268-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 RED WOLF BLVD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724059739",
            "telephone_number": "870-933-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO PECK",
        "first_name": "KAREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AR",
            "license": "E4020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KUO",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.