Jason Russell Peck
MD | Pediatric Critical Care Medicine | Male
Jason Russell Peck, MD is a Columbia, South Carolina based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Jason Russell Peck is
9 Richland Medical Park Dr Ste 530, Columbia, South Carolina - 29203-6870. He can be contacted on phone at
803-434-4603 and fax number 803-434-3866.
Jason Russell Peck is a sole proprietor of his business.
NPI number (Unique professional ID) for Jason Russell Peck is
1235290693 which was assigned by NPPES on 12 Dec, 2006 and it was last updated on 23 Mar, 2018.
Jason Russell Peck license number is
33116 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in South Carolina.
Jason Russell Peck is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Jason Russell Peck basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
|---|
| Provider Name : | Jason Russell Peck |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Jason Russell Peck address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9 Richland Medical Park Dr Ste 530
Columbia, SC, 29203-6870
United States |
|---|
| Phone Number : | 803-434-4603 |
|---|
| Fax Number : | 803-434-3866 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1235290693 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 12 Dec, 2006 |
|---|
| Last Updated On : | 23 Mar, 2018 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jason Russell Peck are as mentioned. Primary taxonomy code for Jason Russell Peck, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 33116 | SC |
| 208000000X | Pediatrics | No | L8471 | TX |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | 45451 | CO |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 33116 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Jason Russell Peck such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 31162 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 743904
Atlanta, GA, 30374-3904
United States |
|---|
| Phone Number : | 803-269-7320 |
|---|
| Fax Number : | 803-296-7330 |
|---|
Business Location:
Patients can refer following map for directions to
Jason Russell Peck practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.