Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sonia C Peck, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1639477433

Sonia C Peck, PHYSICIANASSISTANT is a Physician Assistant in Providence, Rhode Island. Qualified in 1999, 27 years ago. Practices with Physicians of Cape Cod Hospital, a 327-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
27
Licensed in
RI
In the registry since
2011
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Practice location Address checks out

164 Summit Ave
Providence, RI 02906-2853
Phone: (401) 793-3570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA00224 (RI)

Record details

NPI number1639477433
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMarch 3, 2011
Last updated in NPPESMarch 3, 2011
Mailing address164 Summit Avenue, Providence, RI 02906

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Physicians Of Cape Cod Hospital — 327 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence