Active NPI
Randall J Peck, MD
- Anesthesiology Physician
- Pearisburg, VA
National Provider Identifier
1750384657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0101038770
- Practice address
- 1 Taylor Ave
Pearisburg, VA 24134-1932 - Phone
- (800) 277-8151
- Fax
- (336) 841-6217
- NPI assigned
- May 24, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0101038770 | VA | Primary |
Addresses
Primary practice location
1 Taylor Ave
Pearisburg, VA 24134-1932
Mailing address
PO Box 413
Pearisburg, VA 24134-0413
Phone (800) 277-8151
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Memorial Hospital, Inc. | Past | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Past | Accepting new patients | |
| Anesthesiology Associates of Radford Inc | Anesthesiology | Past | Accepting new patients |
| Empower2000, Inc | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 4
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.
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-
- Family Medicine Physician
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- NPI 1710494331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1750384657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 413",
"city": "PEARISBURG",
"state": "VA",
"postal_code": "241340413",
"telephone_number": "800-277-8151",
"fax_number": "336-841-6217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TAYLOR AVE",
"city": "PEARISBURG",
"state": "VA",
"postal_code": "241341932",
"telephone_number": "800-277-8151",
"fax_number": "336-841-6217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "RANDALL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101038770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearisburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.