Ernest Pevny, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

MD030407E Issued in PA

Practice address

47 Smithfield VLG
East Stroudsburg, PA 18301-9054

Phone

(570) 421-2571

NPI assigned

Feb 6, 2009

Last updated

Feb 6, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1326287855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 SMITHFIELD VLG",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019054",
            "telephone_number": "570-421-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 SMITHFIELD VLG",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019054",
            "telephone_number": "570-421-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVNY",
        "first_name": "ERNEST",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "MD030407E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Adult Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.