Mary L Pepine MD, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME67049 Issued in FL

Legal business name

MARY L PEPINE MD, PLLC

Practice address

727 S Florida Ave
Lakeland, FL 33801-5232

Phone

(863) 687-2055

Fax

(863) 687-2155

NPI assigned

Nov 26, 2012

Organization subpart

No

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

Authorized official

Name

Mary Lynn Pepine, MDNPI 1518965672

Title

Owner

Phone

(863) 687-2055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Mary Lynn Pepine, M.D.

  • Procedural Dermatology Physician
  • Lakeland, FL
  • NPI 1518965672
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1659615995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015232",
            "telephone_number": "863-687-2055",
            "fax_number": "863-687-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015232",
            "telephone_number": "863-687-2055",
            "fax_number": "863-687-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY L PEPINE MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "PEPINE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-687-2055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME67049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Martinez, PHARMD
• German Marulanda, MD
• Jonathan Andrew Marx, R.R.A., R.T.(R)(ARRT
• Jonathyn Andrew Marx, PA-C
• Robert Lee Marx Jr., PHARM.D.
• Stephanie Danielle Marzola, M.D.
• Amanda Marika Mascarenhas
• Nichole Mask
• Linda Sue Mason
• Tyshondra D Mason, PTA

• Specialist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.