John Albert Jupin, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD030478E Issued in PA

Practice address

100 Fairfield Dr
Seneca, PA 16346-2130

Phone

(814) 676-7600

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1649377425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMIT DR",
            "address_2": "LOCKBOX 1877",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751877",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FAIRFIELD DR",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163462130",
            "telephone_number": "814-676-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUPIN",
        "first_name": "JOHN",
        "middle_name": "ALBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD030478E",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "9384",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011964220009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Jarzenski, CRNP
• Margo Nola Johnson
• Savita Joneja, MD
• Joseph David Jones
• Melanie Michele Jordan, PA-C
• Roberta Kahler
• Heather Lynn Katon, PA-C
• Kristin Keck
• Dianna Lynn Kelly, CRNA
• Gerard F Kenney, MD

• Emergency Medicine Physician in Seneca, PA
• Providers in Seneca, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.