Mimi I Peak, M.D, M.P.H.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

0101055670 Issued in VA

Practice address

515 Sternberg Ave
Macdonald Army Community Hospital
Fort Eustis, VA 23604-1526

Phone

(757) 314-7613

NPI assigned

Feb 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1821061276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MILFORD RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236013938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 STERNBERG AVE",
            "address_2": "MACDONALD ARMY COMMUNITY HOSPITAL",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "236041526",
            "telephone_number": "757-314-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAK",
        "first_name": "MIMI",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D, M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "VA",
            "license": "0101055670",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "VA",
            "license": "0101055670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Manuel Ortiz, LPN
• Michael Christopher Owens, DPT
• Preciosa P Pacia-Rantayo
• Edward S Pak, DO
• Danielle Parker
• Aasta Rae Pedersen, M.D.
• Christopher Scott Peppel, DDS
• Keisha Amiee Permenter-Keene, RN
• Supatha Kimble Peters, FNP-C
• Mackensi Carden Pfefferkorn

• Occupational Medicine Physician in Fort Eustis, VA
• Providers in Fort Eustis, VA by specialty
• Occupational Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.