CHRISTOPHER L PECK P.A., NPI 1164424362
Physician Assistant in TRUMANSBURG, NY
Last Updated on : Jul 08,2007
About CHRISTOPHER L PECK (NPI 1164424362)
CHRISTOPHER L PECK is a Physician Assistant provider in TRUMANSBURG, United States. His medical specialization is Physician Assistant with a focus in Surgical.
1164424362 is NPI number of CHRISTOPHER L PECK.
CHRISTOPHER L PECK's primary taxonomy code based on NPI Lookup is 363AS0400X with license number 002559. This taxonomy code refers to Physician Assistant.
CHRISTOPHER L PECK has more than 17 years of experience.
CHRISTOPHER L PECK current practice location address is 4364 LOWER COVERT RD, TRUMANSBURG, NY. CHRISTOPHER L PECK can be reached out via phone at 607-273-3161 and via fax at 607-273-4979 .
You can also correspond with CHRISTOPHER L PECK through mail at mailing address 1301 TRUMANSBURG RD, ITHACA, NY, United States. Mailing address contact number is 607-273-3161.
The enumeration date of CHRISTOPHER L PECK is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 16 years ago.1164424362 NPI Information
Basic NPI information of CHRISTOPHER L PECK (NPI 1164424362) is provided below.
| Name | CHRISTOPHER L PECK |
|---|---|
| National Provider Id (NPI) | 1164424362 |
| Entity Type | Individual |
| Gender | M |
| Credential | P.A. |
| Practice Address | 4364 LOWER COVERT RD,
TRUMANSBURG, NY, United States |
| Practice Telephone | 607-273-3161 |
| Practice Fax Number | 607-273-4979 |
| Mailing Address | 1301 TRUMANSBURG RD ,
STE E
ITHACA, NY, United States |
| Mailing Telephone | 607-273-3161 |
| Mailing Fax Number | 607-273-4979 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 08-Jul-2007 |
CHRISTOPHER L PECK (NPI 1164424362) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 363AS0400X | Physician Assistant, Surgical | 002559 | NY |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2504263 | MEDICAID (05) | NY | |
| DD4334 | MEDICARE ID-Type Unspecified (04) | NY | |
| R55980 | MEDICARE UPIN (02) | NY |
CHRISTOPHER L PECK (NPI 1164424362) Office Location
Office location of CHRISTOPHER L PECK is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1053647974 | ELLEN RACHEL ABRAMS | Marriage & Family Therapist | 42 CAYUGA ST,
TRUMANSBURG, NY, United States |
28-Oct-2009 |
| 1972049252 | EVE ABRAMS | Social Worker, Clinical | 15 EAST MAIN ST SUITE 6,
TRUMANSBURG, NY, United States |
11-Jan-2017 |
| 1770571101 | SUZANNE KOCHWESER ANDERSON | Family Medicine | 4435 SENECA RD,
TRUMANSBURG, NY, United States |
10-Oct-2005 |
| 1720103732 | MARGRETHE BANG-TERMANSEN | Registered Nurse, Psych/Mental Health | 201 EAST GREEN ST,
ITHACA, NY, United States |
20-Mar-2007 |
| 1740756980 | JESSICA BELLE | Social Worker | PO BOX 724,
TRUMANSBURG, NY, United States |
15-Oct-2018 |
| 1053309484 | MICHELLE PALIANI BLEGEN | Family Medicine | 4435 SENECA RD,
TRUMANSBURG, NY, United States |
10-Oct-2005 |
| 1639637457 | CAROL A BOBERTZ | Early Intervention Provider Agency | 4 SUNRISE TER,
TRUMANSBURG, NY, United States |
11-Mar-2019 |
| 1679170682 | BRIAN BURNS | Physical Medicine & Rehabilitation | 2359 N TRIPHAMMER RD,
ITHACA, NY, United States |
02-Oct-2020 |
| 1063797041 | MELISSA BURNS | Speech-Language Pathologist, | PO BOX 541,
TRUMANSBURG, NY, United States |
20-Oct-2011 |
| 1760641302 | THOMAS W CALLAGHAN | Social Worker, Clinical | 35 SOUTH ST,
TRUMANSBURG, NY, United States |
09-Jun-2008 |
| 1336289883 | CHRISTOPHER MICHAEL CAREY | Physician Assistant, Medical | 2037 STATE ROUTE 96,
TRUMANSBURG, NY, United States |
07-Feb-2007 |
| 1174817191 | CAYUGA CHIROPRACTIC AND WELLNESS CENTER | Health Maintenance Organization | 203 E MAIN ST,
P.O. BOX 1057 TRUMANSBURG, NY, United States |
07-Jun-2011 |
| 1144431966 | CRAIG L. CHRISTENSEN | Psychologist | 9284 STATE ROUTE 89,
TRUMANSBURG, NY, United States |
24-May-2007 |
| 1669923439 | SHAMUS CLANCEY | Acupuncturist | 1859 TRUMANSBURG RD,
TRUMANSBURG, NY, United States |
17-Oct-2016 |
| 1598825986 | COLLEEN D. COFFEY | Counselor, Mental Health | 44 LAKE ST,
TRUMANSBURG, NY, United States |
08-Dec-2006 |
| 1790009801 | PATRICIA ANN CONROY-ENGLISH | Registered Nurse | PO BOX 513,
TRUMANSBURG, NY, United States |
18-Mar-2010 |
| 1427046853 | JOHN DAVID COOKE | Family Medicine | 4435 SENECA RD,
TRUMANSBURG, NY, United States |
10-Oct-2005 |
| 1669600391 | FRANCIS DALLAIRE | Massage Therapist | 203 E MAIN ST,
TRUMANSBURG, NY, United States |
01-Jul-2009 |
| 1831187251 | REBECCA A DAMIANI | Nurse Practitioner, Family | 4435 SENECA RD,
TRUMANSBURG, NY, United States |
10-Oct-2005 |
| 1114543691 | JEANNINE MARIE DESTRIES | Nurse Practitioner, Family | 248 WHITE CHURCH RD,
BROOKTONDALE, NY, United States |
22-Jun-2020 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1164424362?1164424362 is the NPI number of CHRISTOPHER L PECK.
What is the specialty for CHRISTOPHER L PECK?The Specialty of CHRISTOPHER L PECK is Physician Assistant.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|