DR. SCOTT R PESCHKE MD
NPI 1659489789
Family Medicine in Plymouth, WI

Active since August 28, 2006
2600 KILEY WAY, PLYMOUTH, WI 53073(920) 449-7000 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Scott R Peschke Md NPPES

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

DR. SCOTT R PESCHKE MD (NPI 1659489789) is an individual family medicine provider in Plymouth, Wisconsin, licensed in Wisconsin (25391) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1659489789
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SCOTT R PESCHKECredential: MD
Location Address2600 KILEY WAYPlymouth, WI 53073-5020
Mailing Address2600 Kiley WayPlymouth, WI 53073-5020 · (920) 449-7000
Sole ProprietorNo
Enumeration DateAugust 28, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1659489789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 25391
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2600 KILEY WAY, Plymouth, WI 53073

Other Identifiers 1

Medicaid30647600WI

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.

Physical Therapy Assistant
2600 KILEY WAY
PLYMOUTH, WI 53073
Pharmacy
2600 KILEY WAY
PLYMOUTH, WI 53073
Occupational Therapist
2600 KILEY WAY
PLYMOUTH, WI 53073
Emergency Medicine
2600 KILEY WAY
PLYMOUTH, WI 53073
Social Worker (Clinical)
2600 KILEY WAY
PLYMOUTH, WI 53073
Family Medicine
2600 KILEY WAY
PLYMOUTH, WI 53073
Pharmacist
2600 KILEY WAY
PLYMOUTH, WI 53073
Massage Therapist
2600 KILEY WAY
PLYMOUTH, WI 53073

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659489789, enumerated as an "individual" on August 28, 2006.

The provider is located at 2600 KILEY WAY PLYMOUTH, WI 53073 and the phone number is (920) 449-7000.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.