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LOGAN THOMAS PECK
NPI 1548051147
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since May 14, 2025
1111 W 17TH ST, TULSA, OK 74107(918) 582-1972 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Logan Thomas Peck NPPES

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

LOGAN THOMAS PECK (NPI 1548051147) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1548051147
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLOGAN THOMAS PECK
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address5925 Rosa LnEdmond, OK 73034-4001 · (405) 754-0100
Phone(918) 582-1972
Sole ProprietorYes
Enumeration DateMay 14, 2025
NPPES CertifiedMay 14, 2025
✔ NPI 1548051147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1111 W 17TH ST, Tulsa, OK 74107
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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.

GRAHAM NATHAN JAMEISON MAT, ATC
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 237-2828
MARIYA BOBEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KARLYN TANZEY
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KAYLEY ANTHAMATTEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
CHASE YAGER
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (405) 613-1540
MACKENZIE LYNN HATTABAUGH
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
ASHLEE EASTMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 805-1752
DAVID ROBERT WAXMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972

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 Logan Peck's NPI number?

The NPI number for Logan Peck is 1548051147. It was assigned to this individual provider in the NPPES registry on May 14, 2025.

Where is Logan Peck located?

Logan Peck practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (918) 582-1972.

What is Logan Peck's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Logan Peck was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.