Active NPI
John P Epperson Jr., M.D.
- Emergency Medicine Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M-10097
- Practice address
- 190 E Bannock St
Boise, ID 83712-6241 - Phone
- (208) 381-2235
- NPI assigned
- Jul 8, 2006
- Last updated
- Aug 4, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME 83947 | FL | |
| Emergency Medicine Physician | 207P00000X | 34891 | IA | |
| Emergency Medicine Physician | 207P00000X | MD185493 | OR | |
| Emergency Medicine Physician | 207P00000X | M-10097 | ID | Primary |
Addresses
Primary practice location
190 E Bannock St
Boise, ID 83712-6241
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Other practice location 1
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 322-1730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807930300 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 83947 | FL | MD | Emergency Medicine Physician |
| 34891 | IA | MD | Emergency Medicine Physician |
| M-10097 | ID | MD | Emergency Medicine Physician |
| MD185493 | OR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walter Knox Memorial Hospital | Current | Accepting new patients | |
| Carepoint Health Emergency Medicine Idaho, PLLC | Emergency Medicine | Current | Accepting new patients |
| St Lukes Clinic-Treasure Valley LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Washington County Hospital | Past | Accepting new patients | |
| Henry County Soldiers' and Sailors' Memorial Hospital | Past | Accepting new patients |
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719
1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338
351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/
- jepperson1@valorhealth.cernerdirect.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Caldwell, ID
- NPI 1285275461
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
Emergency Medicine
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
dba Henry County Health Center
- Skilled Nursing Facility
- Mt Pleasant, IA
- NPI 1982691002
-
dba WCHC Kalona Clinic
- Family Medicine Physician
- Kalona, IA
- NPI 1235985003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1427081983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241",
"telephone_number": "208-381-2235"
}
],
"practiceLocations": [
{
"address_1": "1055 N Curtis Rd",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837061309",
"country_code": "US",
"telephone_number": "208-322-1730",
"fax_number": "208-322-1731",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EPPERSON",
"first_name": "JOHN",
"middle_name": "P",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME 83947",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "34891",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD185493",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "M-10097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807930300",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.