Paul A Pupi, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD009488E Issued in PA

Practice address

93 Boundry LN
Beaver, PA 15009-2949

Phone

(724) 728-8300

Fax

(724) 728-6470

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Association of Specialty Physicians, Inc

  • Orthopaedic Surgery Physician
  • Beaver, PA
  • NPI 1598751208
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1114913233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 BOUNDRY LN",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092949",
            "telephone_number": "724-728-8300",
            "fax_number": "724-728-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 BOUNDRY LN",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092949",
            "telephone_number": "724-728-8300",
            "fax_number": "724-728-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUPI",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD009488E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006392220001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Prem
• Jack Michael Preston, M.D.
• Thomas J Preston, CSW
• Mitchell Scot Pulleo
• Michael Punk, CRNA
• Xingyi Que, M.D.
• Olivia Dawn Rabak, RDN, LDN
• David Mark Rafalko, M.D.
• Anna Rastatter, LCSW
• Annmarie Ray, M.D.

• Surgery Physician in Beaver, PA
• Providers in Beaver, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.