Peko LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PEKO LLC

Practice address

7634 W Central Ave
Toledo, OH 43617-1526

Phone

(567) 408-7356

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Mark Alan Stutler, CPA

Title

Chief Financial Officer

Phone

(419) 290-3034

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter F Koltz, MD

  • Plastic Surgery Physician
  • Toledo, OH
  • NPI 1316260797
  Medicare reassignment Care Compare group NPD
• Daniel George Straka, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Worthington, OH
  • NPI 1437388139
  Medicare reassignment Care Compare group NPD
• Nickolay Peter Markov, MD

  • Plastic Surgery Physician
  • Wpafb, OH
  • NPI 1598927824
  Medicare reassignment NPD

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1871357533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7634 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171526",
            "telephone_number": "567-408-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7634 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171526",
            "telephone_number": "567-408-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEKO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "STUTLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "419-290-3034",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Andrew Peet, LPCC
• Korey Peete Sr.
• Michael Joseph Peeters, PHARMD
• Raven Peguese
• Jason James Robert Peisley, DC
• Pekosc LLC
• Angad Pelia, MD
• Elisha E Pelland, NP
• Helen N Pellerino, LSW
• Mary Pellioni, MD

• Plastic Surgery Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.