Active NPI
Jerome Sepic MD PLLC
- Plastic Surgery Physician
- Portsmouth, NH
National Provider Identifier
1487810248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 13930
- Legal business name
- JEROME SEPIC MD PLLC
- Practice address
- 875 Greenland Rd
Portsmouth, NH 03801-4164 - Phone
- (603) 334-6800
- Fax
- (603) 334-6868
- NPI assigned
- Jul 31, 2008
- Last updated
- Sep 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerome Sepic, MD
- Title
- Member
- Phone
- (603) 334-6800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 13930 | NH | Primary |
Addresses
Primary practice location
875 Greenland Rd
Portsmouth, NH 03801-4164
Mailing address
PO Box 86
Hingham, MA 02043-0086
Phone (781) 749-9071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30217002 | Medicaid | NH |
National Provider Directory
National Provider DirectoryLocations
875 Greenland Rd
Portsmouth, NH 03801
Phone (603) 294-0375
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic and Reconstructive Surgery Physician
- Portsmouth, NH
- NPI 1871612804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252886400000",
"number": "1487810248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020430086",
"telephone_number": "781-749-9071",
"fax_number": "781-749-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 GREENLAND RD",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014164",
"telephone_number": "603-334-6800",
"fax_number": "603-334-6868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEROME SEPIC MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-31",
"last_updated": "2009-09-14",
"status": "A",
"authorized_official_last_name": "SEPIC",
"authorized_official_first_name": "JEROME",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "603-334-6800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "NH",
"license": "13930",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30217002",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.