Robert a. Sepersky, MD,PC – Specialist

Key facts

NPI: 1407051402
Entity type: Organization (NPI type 2)
Primary specialty: Specialist 174400000X
License: 43108 (MA)
Legal business name: ROBERT A. SEPERSKY, MD,PC
Practice address: 511 W Grove St
Suite 204
Middleboro, MA 02346-1458
Phone: (508) 947-5983
Fax: (508) 947-5048
NPI assigned: Jun 19, 2007
Organization subpart: No

Authorized official

Name: Dr. Robert A Sepersky, MD NPI 1457328494
Title: President
Phone: (508) 947-5983

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Robert Allan Sepersky, M.D. Specialist · Middleboro, MA · NPI 1457328494

NPD (past) Authorized official SPECIALIST

National Provider Directory

Locations

511 W Grove St
Ste 204
Middleboro, MA 02346
Phone (508) 947-5983

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist Group: 193400000X SINGLE SPECIALTY GROUP	174400000X	43108	MA	Yes

Addresses

Primary practice location

511 W Grove St
Suite 204
Middleboro, MA 02346-1458

Mailing address

511 W Grove St
Suite 204
Middleboro, MA 02346-1458
Phone (508) 947-5983

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 24, 2007.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1407051402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W GROVE ST",
            "address_2": "SUITE 204",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461458",
            "telephone_number": "508-947-5983",
            "fax_number": "508-947-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W GROVE ST",
            "address_2": "SUITE 204",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461458",
            "telephone_number": "508-947-5983",
            "fax_number": "508-947-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. SEPERSKY, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "SEPERSKY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-947-5983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "43108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleboro, MA

All providers in Middleboro, MA · Specialist in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.