Provider Demographics
NPI:1609958941
Name:SEMPIREK, RODNEY FRANKLIN (PA)
Entity Type:Individual
Prefix:
First Name:RODNEY
Middle Name:FRANKLIN
Last Name:SEMPIREK
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 N SUGAR ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-1331
Mailing Address - Country:US
Mailing Address - Phone:740-526-0367
Mailing Address - Fax:304-234-3511
Practice Address - Street 1:2121 EOFF ST
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3805
Practice Address - Country:US
Practice Address - Phone:304-234-3580
Practice Address - Fax:304-234-3511
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV00954363A00000X
OH50001706363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVP74322Medicare UPIN
WVSEPA19972Medicare PIN
WVSEPA19971Medicare PIN