James R. Peshock, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

23310 Issued in CO

Practice address

2336 Canyon Blvd Ste 100
Boulder, CO 80302-5653

Phone

(303) 442-5492

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Boulder Valley Anesthesiology, PLLC

  • Anesthesiology Physician
  • Boulder, CO
  • NPI 1962431668
  NPD (past)
• Delvecchio Back and Neck Care Center PC

  • Chiropractor
  • Arvada, CO
  • NPI 1720262884
  NPD (past)
• Guy M. Zublin, M.D., PC

  • Physical Medicine & Rehabilitation Physician
  • Boulder, CO
  • NPI 1487804571
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1871672972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1588",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803061588",
            "telephone_number": "303-442-5492",
            "fax_number": "303-447-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 CANYON BLVD STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025653",
            "telephone_number": "303-442-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESHOCK",
        "first_name": "JAMES",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "23310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01233105",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina M Pernosky
• Leigh Perreault, MD
• Vincent Perrone, LPC
• Stephen Michael Perry, D.D.S.
• Jayne Persch, M.A.
• Ed Peskin, PT
• Nicole L Peskin, PT
• Beatriz M Pestana-Osuna
• Immaculate Peter, RBT
• Amanda Peters, DC

• Anesthesiology Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.