MEDICARE: DR. JAMES ADAM EPPLEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	28332	KY
2	2084P0804X	Child & Adolescent Psychiatry Physician	28332	KY
3	2084P0804X	Child & Adolescent Psychiatry Physician	35.060459	OH

General Provider Information

NPI Number	:	1033108006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES ADAM EPPLEY M.D.

Provider Business Mailing Address
First Line	:	3000 HOSPITAL DR
Second Line	:	MLE 02500C
City	:	BATAVIA
State	:	OH
Zip	:	45103-1921
Country	:	US
Telephone Number	:	513-732-8629
Fax Number	:	513-732-8626

Provider Business Practice Location Address
First Line	:	3000 HOSPITAL DR
Second Line	:	MLE 02500C
City	:	BATAVIA
State	:	OH
Zip	:	45103-1921
Country	:	US
Telephone Number	:	513-732-8629
Fax Number	:	513-732-8626

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	09/09/2014

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