JOSEPH RONALD PEACOCK M.D. NPI 1184682106

Radiology (Diagnostic Radiology) in Wilmington, DE

About JOSEPH PEACOCK

Joseph Peacock is a provider in Wilmington, DE with more than 42 years of experience. The NPI number assigned to this provider is 1184682106. The practitioner's primary taxonomy code is Radiology (2085R0202X). The provider is registered as an individual and their NPI record was last updated 5 years ago. Joseph Peacock is registered with Medicare and accepts claims assignment.

NPI

1184682106

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name JOSEPH RONALD PEACOCK M.D.
Provider Location Address1020 N UNION ST WILMINGTON, DE 19805 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1601 MILLTOWN RD SUITE 13 WILMINGTON, DE 19808 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year1976
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date05-01-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date12-18-2012 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

JOSEPH RONALD PEACOCK M.D.
1020 N UNION ST
WILMINGTON, DE
ZIP 19805
Phone: (302) 427-9855
Fax: (302) 427-9549
Get Directions

Mailing Address

JOSEPH RONALD PEACOCK M.D.
1601 MILLTOWN RD
SUITE 13
WILMINGTON, DE
ZIP 19808
Phone: (302) 993-2330
Fax: (302) 993-2344

Primary Taxonomy

Taxonomy Code2085R0202X Additional informationCallout TooltipPrimary Taxonomy Code
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.
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.C1-0001924
License StateDE
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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
063359O73MEDICARE PIN (08)DE
003244B93MEDICARE PIN (08)DE
006950P97MEDICARE PIN (08)DE
063359W26MEDICARE PIN (08)DE
0000112301MEDICAID (05)DE
003994D14MEDICARE PIN (08)DE
00A571G66MEDICARE PIN (08)DE
C48583MEDICARE UPIN (02)

Map Location


JOSEPH RONALD PEACOCK M.D. address is 1020 N UNION ST WILMINGTON, DE 19805

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265499784MRI OF WILMINGTON LLC
Organization
Radiology (Diagnostic Radiology)1020 N UNION ST
WILMINGTON, DE 19805
(302) 427-9855
Previous NPI
1184682098
Next NPI
1184682114