NPI Code Details Logo

NPI 1326320052

NPI 1326320052 : ERIN C MCPEAK PA-C : MONTROSE, CO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1326320052
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ERIN C MCPEAK PA-C
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/20/2011
-----------------------------------------------------
    Last Update Date     |    08/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    900 S 4TH ST 
-----------------------------------------------------
    City                 |    MONTROSE
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    81401-4226
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    970-249-6737
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    900 S 4TH ST 
-----------------------------------------------------
    City                 |    MONTROSE
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    81401-4226
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    970-240-7101
-----------------------------------------------------
    Fax                  |    970-240-7190
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    085004106
-----------------------------------------------------
    License Number State |    IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    PA157792
-----------------------------------------------------
    License Number State |    OR
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    10001396A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    PA60276548
-----------------------------------------------------
    License Number State |    WA
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    363AS0400X
-----------------------------------------------------
    Taxonomy Name        |    Surgical Physician Assistant
-----------------------------------------------------
    License Number       |    304668
-----------------------------------------------------
    License Number State |    LA
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    363AS0400X
-----------------------------------------------------
    Taxonomy Name        |    Surgical Physician Assistant
-----------------------------------------------------
    License Number       |    PA54168
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    PA.0006249
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.