CONNOR J PECK MD
NPI 1104566355
Student in an Organized Health Care Education/Training Program in Seattle, WA
About Connor J Peck Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNOR J PECK MD (NPI 1104566355) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Connor J Peck Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEATTLE, WA 98104
SEATTLE, WA 98104
SEATTLE, WA 98104
SEATTLE, WA 98104
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 Connor Peck's NPI number?
The NPI number for Connor Peck is 1104566355. It was assigned to this individual provider in the NPPES registry on March 29, 2022.
Where is Connor Peck located?
Connor Peck practices at 325 9th Ave # 359796, Seattle, WA 98104. The listed phone number is (385) 226-8680.
What is Connor Peck's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Connor Peck enrolled in Medicare?
Yes. Connor Peck is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Connor Peck was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Connor J Peck, MD · NPI 1104566355
Student in an Organized Health Care Education/Training Program provider in Seattle, Washington. Individual provider, active in the CMS NPPES registry since March 29, 2022.
## Identity
- **NPI:** 1104566355 (Entity type: Individual)
- **Enumerated:** March 29, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 325 9TH AVE # 359796, Seattle, WA 98104-2420
- **Phone:** (385) 226-8680
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** March 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104566355) · Data from the CMS NPPES public registry.