DOUGLAS OWEN PEENO MD NPI 1265446256

NPI Information

  • NPI: 1265446256
  • Provider Name: DOUGLAS OWEN PEENO, MD
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • Address: 3999 DUTCHMANS LN
    SUITE 4D
    LOUISVILLE, KY
    ZIP 40207
  • Phone: (502) 893-6777

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NPI Details

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
1207VG0400XObstetrics & GynecologyGynecology19315KENTUCKYYes

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
164193154MEDICAIDKENTUCKY
21051305OTHERKENTUCKYPASSPORT
3C70695MEDICARE UPIN
42623OTHERKENTUCKYBLUE CROSS
5K006160MEDICARE OSCAR/CERTIFICATIONKENTUCKY
6P00957737MEDICARE PINKENTUCKY

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: 11/21/2025

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