MEDICARE: JOHN FRANCIS PEPPIN D.O.

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	207R00000X	Internal Medicine Physician	03020	KY
2	207R00000X	Internal Medicine Physician	34998	WI
3	208VP0000X	Pain Medicine Physician	03083	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000529790	OTHER		ANTHEM

General Provider Information

NPI Number	:	1649262635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN FRANCIS PEPPIN D.O.

Provider Business Mailing Address
First Line	:	1210 KY HIGHWAY 36 E UNIT 1
Second Line	:
City	:	CYNTHIANA
State	:	KY
Zip	:	41031-7498
Country	:	US
Telephone Number	:	859-234-2300
Fax Number	:	859-234-4498

Provider Business Practice Location Address
First Line	:	1210 KY HIGHWAY 36 E UNIT 1
Second Line	:
City	:	CYNTHIANA
State	:	KY
Zip	:	41031-7498
Country	:	US
Telephone Number	:	859-234-4494
Fax Number	:	859-234-4498

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

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	09/18/2024

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Directions to “ JOHN FRANCIS PEPPIN D.O.” Practice Location

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