THEODORE M PECK MD
NPI 1093717332
Obstetrics & Gynecology in La Crosse, WI

Active since June 01, 2005
1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: July 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theodore M Peck Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE M PECK MD (NPI 1093717332) is an individual obstetrics & gynecology provider in La Crosse, Wisconsin, licensed in Wisconsin (22490) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1093717332
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameTHEODORE M PECKCredential: MD
Location Address1836 SOUTH AVELa Crosse, WI 54601-5429
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateJuly 9, 2015
NPI 1093717332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in WI · 22490
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1836 SOUTH AVE, La Crosse, WI 54601

Other Identifiers 4

Medicare UPINB55655
Medicaid30258500WI
Medicare PINI14115IA
Medicare PIN0179WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601
Nurse Anesthetist, Certified Registered
1836 SOUTH AVE
LA CROSSE, WI 54601
Psychologist
1836 SOUTH AVE
LA CROSSE, WI 54601
Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
Nurse Practitioner (Adult Health)
1836 SOUTH AVE
LA CROSSE, WI 54601
Orthopaedic Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
Registered Nurse (Addiction (Substance Use Disorder))
1836 SOUTH AVE
LA CROSSE, WI 54601
Nurse Practitioner (Family)
1836 SOUTH AVE
LA CROSSE, WI 54601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Peck's NPI number?

The NPI number for Theodore Peck is 1093717332. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Theodore Peck located?

Theodore Peck practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.

What is Theodore Peck's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Theodore Peck was last updated on July 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.