Provider Demographics
NPI:1629018593
Name:PEPE, GEORGE (DO)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:PEPE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 606
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-0606
Mailing Address - Country:US
Mailing Address - Phone:215-785-0145
Mailing Address - Fax:215-785-0161
Practice Address - Street 1:333 N OXFORD VALLEY RD
Practice Address - Street 2:SUITE 510
Practice Address - City:FAIRLESS HILLS
Practice Address - State:PA
Practice Address - Zip Code:19030-2624
Practice Address - Country:US
Practice Address - Phone:215-785-0145
Practice Address - Fax:215-785-0161
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS008338L207LP2900X
NJ25MB06640800207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ22-1994560OtherUNITED HEALTHCARE/OXFORD
NJ23-2919275OtherFIRST MCO
PA23-2919275OtherPROCURA MANAGEMENT
PA001593217Medicaid
PA0042414000OtherAMERIHEALTH
NJ1466605OtherAETNA
PA22-1994560OtherUNITED HEALTCARE/OXFORD
PA23-2919275OtherGREAT WEST HEALTHCARE
PA0042414000OtherKEYSTONE HEALTH PLAN EAST
PA22-1994560OtherFIRST MCO
PA22-1994560OtherGREAT WEST HEALTHCARE
PA23-2919275OtherFIRST MCO
NJ23-2919275OtherUNITED HEALTHCARE/OXFORD
PA1108366OtherAETNA
PA23-2919275OtherQUALCARE
PA882973OtherPERSONAL CHOICE
NJ1416662OtherAETNA
PA22-1994560OtherDEVON
NJ22-1994560OtherFIRST MCO
PA22-1994560OtherHEALTH AMERICA/HEALTH ASSURANCE
PA23-2919275OtherUNITED HEALTCARE/OXFORD
PA50059320OtherCAPITAL BLUE CROSS
PA882973OtherPA BLUE SHIELD
PA22-1994560OtherQUALCARE
PA23-2919275OtherDEVON
PADB0435OtherRAILROAD MEDICARE (GROUP)
PADD1386OtherRAILROAD MEDICARE (GROUP)
PA1331762OtherFIRST HEALTH NETWORK
NJ22-1994560OtherHORIZON BLUE CROSS BLUE SHIELD
PA22-1994560OtherPROCURA MANAGEMENT
PA23-2919275OtherHELATH AMERICA/HEALTH ASSURANCE
NJ23-2919275OtherHORIZON BLUE CROSS BLUE SHIELD
PA30036184OtherKEYSTONE MERCY
PA7600309OtherCIGNA
PA059385S8TMedicare PIN
PA7600309OtherCIGNA
PA1108366OtherAETNA
PA22-1994560OtherDEVON
PA23-2919275OtherQUALCARE
PAG32958Medicare UPIN
PADD1386OtherRAILROAD MEDICARE (GROUP)
PA0042414000OtherAMERIHEALTH