Healthcare Provider Details

I. General information

NPI: 1326320052
Provider Name (Legal Business Name): ERIN C MCPEAK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2011
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S 4TH ST
MONTROSE CO
81401-4226
US

IV. Provider business mailing address

900 S 4TH ST
MONTROSE CO
81401-4226
US

V. Phone/Fax

Practice location:
  • Phone: 970-249-6737
  • Fax:
Mailing address:
  • Phone: 970-240-7101
  • Fax: 970-240-7190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085004106
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA157792
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number10001396A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA60276548
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number304668
License Number StateLA
# 6
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA54168
License Number StateCA
# 7
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0006249
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: