- Practice location
- 743 Jefferson Ave Ste 104, Scranton, PA 18510-1636
- Phone
- 570-207-0433
- Fax
- —
- Last updated
- April 3, 2024
John Andre Pepen is a Surgery based in Scranton, PA. John Andre Pepen practices in Scranton, PA. The NPI Number for John Andre Pepen is 1144462615 and holds a License No. MD483480 (PA). The current practice location address for John Andre Pepen is 743 Jefferson Ave Ste 104, Scranton, PA 18510-1636 and can be reached out via phone at 570-207-0433.
Provider Profile Details
- NPI Number
- 1144462615
- Provider Name
- John Andre Pepen
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 743 Jefferson Ave Ste 104, Scranton, PA 18510-1636
- Phone Number
- 570-207-0433
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 30, 2009
- Last Update Date
- April 3, 2024
- Certification Date
- April 3, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 743 Jefferson Ave Ste 104
Scranton, PA 18510-1636 - City
- Scranton
- State
- Pennsylvania
- Zip
- 18510-1636
- Phone Number
- 570-207-0433
Provider Business Mailing Address Details
- Address
- 743 Jefferson Ave Ste 104
Scranton, PA 18510-1636 - City
- Scranton
- State
- PA
- Zip
- 18510-1636
- Phone Number
- 570-207-0433
License Information
- License Number (1)
- MD483480
- License State (1)
- PA
- Taxonomy (1)
- Surgery · 208600000X · Primary
- License Number (2)
- 25MA09709700
- License State (2)
- NJ
- Taxonomy (2)
- Surgery, Surgical Critical Care · 2086S0102X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of John A Pepen?
The NPI number of John A Pepen is 1144462615. It was assigned on March 30, 2009 and is currently active in the NPPES registry.
What is the specialty of John A Pepen?
John A Pepen is registered under the primary taxonomy Surgery (code 208600000X), licensed in PA under license number MD483480.
Where does John A Pepen practice?
The practice location is 743 Jefferson Ave Ste 104, Scranton, PA 18510-1636. The office can be reached at 570-207-0433 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144462615 directly on the NPPES registry website.