Individual provider · Type 1 NPI

Jason Russell Peck, MD

Pediatric Critical Care Medicine Physician · Columbia, SC

NPI number 1235290693 Active

Practice location

9 Richland Medical Park Dr Ste 530
Columbia, SC 29203-6870

Call (803) 434-4603 Map

Fax (803) 434-3866

Mailing address

PO Box 743904
Atlanta, GA 30374-3904

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X33116 (SC)
Pediatrics Physician 208000000XL8471 (TX)
Pediatric Critical Care Medicine Physician 2080P0203X45451 (CO)
Pediatric Critical Care Medicine Physician Primary 2080P0203X33116 (SC)

Pediatric Critical Care Medicine Physician: A pediatrician 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…

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About NPI 1235290693

Jason Russell Peck, MD's National Provider Identifier is 1235290693, issued on Dec 12, 2006. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Columbia, SC. The record was last updated on Mar 23, 2018.