DOUGLAS OWEN PEENO MD NPI 1265446256

NPI Information

NPI: 1265446256
Provider Name: DOUGLAS OWEN PEENO, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
3999 DUTCHMANS LN
SUITE 4D
LOUISVILLE, KY
ZIP 40207
Phone: (502) 893-6777
Get Directions

Douglas Owen Peeno, MD is a gynecology obstetrics gynecology in Louisville, KY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Douglas Owen Peeno, MD NPI is 1265446256. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3999 DUTCHMANS LN
SUITE 4D
LOUISVILLE, KY
ZIP 40207-729
Phone: (502) 893-6777
Fax: (502) 899-5535

The enumeration date for this NPI number is 7/28/2006 and was last updated on 4/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	19315	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	64193154	MEDICAID	KENTUCKY
2	1051305	OTHER	KENTUCKY	PASSPORT
3	C70695	MEDICARE UPIN
4	2623	OTHER	KENTUCKY	BLUE CROSS
5	K006160	MEDICARE OSCAR/CERTIFICATION	KENTUCKY
6	P00957737	MEDICARE PIN	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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