Provider Demographics
NPI:1649262635
Name:PEPPIN, JOHN FRANCIS (DO)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:FRANCIS
Last Name:PEPPIN
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 1:1210 KY HIGHWAY 36 E UNIT 1
Mailing Address - Street 2:
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-7498
Mailing Address - Country:US
Mailing Address - Phone:859-234-2300
Mailing Address - Fax:859-234-4498
Practice Address - Street 1:1210 KY HIGHWAY 36 E UNIT 1
Practice Address - Street 2:
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-7498
Practice Address - Country:US
Practice Address - Phone:859-234-4494
Practice Address - Fax:859-234-4498
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY03020207R00000X
WI34998207R00000X
IA03083208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000529790OtherANTHEM
G35760Medicare UPIN
0688825Medicare PIN