Organization Active NPI

Jerome Sepic MD PLLC

  • Plastic Surgery Physician
  • Portsmouth, NH
National Provider Identifier
1487810248
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
13930 Issued in NH
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jerome Sepic, MDNPI 1871612804
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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
30217002MedicaidNH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.