Susan Peck MD, P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

31011 Issued in CO

Legal business name

SUSAN PECK MD, P.C.

Practice address

701 E Hampden Ave
Suite 120
Englewood, CO 80113-2736

Phone

(303) 788-5483

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Susan E Peck, MDNPI 1104852169

Title

Owner

Phone

(303) 788-5483

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susan Peck MD, P.C. Other name

Practitioners 1

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

• Susan Elizabeth Peck, MD

  • Obstetrics & Gynecology Physician
  • Englewood, CO
  • NPI 1104852169
  NPD (past) Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922032242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E HAMPDEN AVE STE 120",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132736",
            "telephone_number": "303-788-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E HAMPDEN AVE",
            "address_2": "SUITE 120",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132736",
            "telephone_number": "303-788-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN PECK MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-788-5483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "31011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01310119",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan Peck MD, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Surgical Concepts, LLC
• Surgone, PC
• Surgone, PC
• Surgone, PC
• Susan Papner, DO, LLC
• Jerome C Sutherland, M.D.
• Kenneth M Swank, MD
• Ashley Swanson, MS, NLC
• Brenna Swanson
• Greta Joy Swanson, MFTC

• Obstetrics & Gynecology Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• Obstetrics & Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.