Active NPI
Susan G. Zepka, PA-C
- Physician Assistant
- Pittsfield, MA
National Provider Identifier
1790870244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 899
- Practice address
- 725 North St.
Berkshire Medical Center Emergency Dept
Pittsfield, MA 01201 - Phone
- (413) 447-2000
- Fax
- (413) 447-2175
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 899 | MA | Primary |
Addresses
Primary practice location
725 North St.
Berkshire Medical Center Emergency Dept
Pittsfield, MA 01201
Mailing address
725 North St.
Berkshire Medical Center Emergency Dept
Pittsfield, MA 01201
Phone (413) 447-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 899 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790870244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 NORTH ST.",
"address_2": "BERKSHIRE MEDICAL CENTER EMERGENCY DEPT",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "01201",
"telephone_number": "413-447-2000",
"fax_number": "413-447-2175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 NORTH ST.",
"address_2": "BERKSHIRE MEDICAL CENTER EMERGENCY DEPT",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "01201",
"telephone_number": "413-447-2000",
"fax_number": "413-447-2175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEPKA",
"first_name": "SUSAN",
"middle_name": "G.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.