Kenneth A Scheppke, MD
Individual provider Active NPI Emergency Medical Services (Emergency Medicine) Physician · West Palm Beach, FL
NPI 1669418398 · NPPES record last updated Jan 19, 2023
Key facts
- NPI
- 1669418398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- License
- ME68624 (FL)
- Practice address
- 405 Pike Rd
West Palm Beach, FL 33411-3815 - Phone
- (561) 616-7000
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 68624 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ehs at Lakeside LLC | Current |
Accepting new patients | |
| Board of County Commissioners Palm Beach County | Past |
Accepting new patients | |
| Jupiter Emergency Medical Specialist Inc | Emergency Medicine | Past | Accepting new patients |
Locations
39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477
Interoperability endpoints
- kscheppke274313@mhsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME 68624 | FL | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | ME68624 | FL | Yes |
Addresses
Primary practice location
405 Pike Rd
West Palm Beach, FL 33411-3815
Mailing address
PO Box 2764
Jupiter, FL 33468-2764
Phone (561) 743-9245
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377856800 | Medicaid | FL |
Other providers in West Palm Beach, FL
- Hayley Cooper Schapiro
- M Rachel Scharf
- Hugo Scharovsky
- Rudolph Paul Scheerer
- Lauren M Scheffler
- Mark Steven Scherer
- Arnold Warren Scherz
- Avi Schetritt
- Susannah M Schied
- Julie Ann Schiess
All providers in West Palm Beach, FL · Emergency Medical Services (Emergency Medicine) Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.