Patrick Pepper, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA008 Issued in KY

Practice address

1401 Harrodsburg Rd
Suite B-275
Lexington, KY 40504-3751

Phone

(859) 278-2334

Fax

(859) 278-0159

NPI assigned

Nov 28, 2005

Reactivated

Dec 13, 2005

Sex

Male

Sole proprietor

No

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

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: ppepper275280@direct.stlukeshealth.org
• Direct secure messaging: patrickpepper@kysjhspe.allscriptsdirect.net

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.

• Neurosurgical Associates PSC

  • Neurological Surgery Physician
  • Lexington, KY
  • NPI 1235110925
  NPD

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1205819927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "SUITE B-275",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043751",
            "telephone_number": "859-278-2334",
            "fax_number": "859-278-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPER",
        "first_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2019-08-09",
        "deactivation_date": "2005-11-28",
        "reactivation_date": "2005-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95005047",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Penny
• Leah S Pennybaker
• Cindy Le Penrod, LCSW
• Amy Beth Penticuff, APRN
• Justin Clay Penticuff
• Cecil Peppiatt
• Mikayla Reese Percell, LICSW
• Raechel Lee Percy, D.O.
• Cristina V Perez Pacheco, DDS
• Alyssa Perez

• Surgical Physician Assistant in Lexington, KY
• Providers in Lexington, KY by specialty
• Surgical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.