Individual
JAMES PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
(603) 640-1228
Mailing address
10 ORMS ST, SUITE 110, PROVIDENCE, RI 02904-2228
(401) 453-0666
(401) 453-9619
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
N30848
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
082165-23
NH
367500000X
Certified Registered Nurse Anesthetist
255585
MA
367500000X
Certified Registered Nurse Anesthetist
RNA36627
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001803
BLUE CHIP PROVIDER NUMBER
RI
01
—
1286
BLUE CROSS PROVIDER NUMBER
RI
01
—
1306892062
FALLON
MA
Enumeration date
05/25/2006
Last updated
05/17/2026
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