Physician Compare National (NPI:1003010133)

HEALTHCARE PROVIDER: JON DAVID LEPLEY D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1003010133
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4183725807
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070725000530
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEPLEY
	Individual professional last name
Provider First Name	JON
	Individual professional first name
Provider Middle Name	DAVID
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ADDICTION MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ADDICTION MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	LANCASTER GENERAL MEDICAL GROUP
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0941103683
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	354
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1159 RIVER RD
	Group Practice or individual's line 1 address
City	MARIETTA
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	175471628
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7174261131
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y