Jason a Rupeka D O LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34-008796 Issued in OH

Legal business name

JASON A RUPEKA D O LLC

Practice address

2219 E Market St
Warren, OH 44483-6105

Phone

(330) 392-5800

Fax

(330) 392-6993

NPI assigned

Jul 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason A Rupeka, D.O.

Title

Sole Member

Phone

(330) 392-5800

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1104080753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836105",
            "telephone_number": "330-392-5800",
            "fax_number": "330-392-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836105",
            "telephone_number": "330-392-5800",
            "fax_number": "330-392-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON A RUPEKA D O LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "RUPEKA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "330-392-5800",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-008796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1942361928",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2704943",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Janacone
• Janet L Shiley MD Inc
• George Richard Jarbeck II, LPC,LICDC
• Jennifer Jarrett
• Jasmond McCoy
• Jaime Jastatt
• Jeffrey E. Jay, PT
• Jeanetta
• Kiara Jenkins
• Bertia A Jennings, DNP, CNP

• Family Medicine Physician in Warren, OH
• Providers in Warren, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.