Active NPI
Brittany Lynn Peppel, PA-C
- Medical Physician Assistant
- Marietta, OH
National Provider Identifier
1811247927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 50.003579RX
- Practice address
- 800 Pike St Ste 2
Marietta, OH 45750-3507 - Phone
- (740) 373-3960
- Fax
- (740) 373-3965
- NPI assigned
- Sep 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 50.003579RX | OH | Primary |
Addresses
Primary practice location
800 Pike St Ste 2
Marietta, OH 45750-3507
Mailing address
PO Box 449
Marietta, OH 45750-0449
Phone (740) 374-4500
Other practice location 1
1006 Washington Blvd Ste G
Belpre, OH 45714-4005
Phone (740) 423-3240
Other practice location 2
401 Matthew St
Emergency Dept
Marietta, OH 45750-1644
Phone (740) 374-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0072503 | Medicaid | OH |
Other names 1
- Brittany Lynn Giesken
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 752 | WV | MD | Physician Assistant |
| 50.003579RX | OH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1811247927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 449",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457500449",
"telephone_number": "740-374-4500",
"fax_number": "740-374-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PIKE ST STE 2",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457503507",
"telephone_number": "740-373-3960",
"fax_number": "740-373-3965"
}
],
"practiceLocations": [
{
"address_1": "1006 Washington Blvd Ste G",
"address_purpose": "LOCATION",
"city": "Belpre",
"state": "OH",
"postal_code": "457144005",
"country_code": "US",
"telephone_number": "740-423-3240",
"fax_number": "740-401-0440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 Matthew St",
"address_2": "Emergency Dept",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "OH",
"postal_code": "457501644",
"country_code": "US",
"telephone_number": "740-374-1400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEPPEL",
"first_name": "BRITTANY",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-17",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "50.003579RX",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0072503",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "GIESKEN",
"middle_name": "LYNN",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.