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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: August 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 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
Phone(608) 782-7300
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateAugust 16, 2026
✔ 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
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Other Identifiers 1

Medicaid30258500WI

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.

JEFFREY BRIAN TROHKIMOINEN M.D.
Anesthesiology
1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601
La Crosse County (608) 775-2031
JESSICA E THESING CRNA
Nurse Anesthetist, Certified Registered
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
DR. MICHAEL DAVID SMITH PSY.D.
Psychologist
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JESSICA MAE RASMUSSEN
Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JULIE SONSALLA APNP
Nurse Practitioner (Adult Health)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
LAURA KLINGBEIL
Orthopaedic Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
SUSAN CAROL SORRENTINO RN
Registered Nurse (Addiction (Substance Use Disorder))
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
NAOMI MUTHONI RUIRU APNP
Nurse Practitioner (Family)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300

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 August 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.