Active NPI
George B Cheponis, M.D.
- Internal Medicine Physician
- Ambridge, PA
National Provider Identifier
1992721708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD015931E
- Practice address
- 1155 Merchant St
Ambridge, PA 15003-2375 - Phone
- (724) 266-0707
- Fax
- (724) 266-3978
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD015931E | PA | Primary |
Addresses
Primary practice location
1155 Merchant St
Ambridge, PA 15003-2375
Mailing address
1155 Merchant St
Ambridge, PA 15003-2375
Phone (724) 266-0707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009926470001 | Medicaid | PA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD015931E | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1992721708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 MERCHANT ST",
"city": "AMBRIDGE",
"state": "PA",
"postal_code": "150032375",
"telephone_number": "724-266-0707",
"fax_number": "724-266-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 MERCHANT ST",
"city": "AMBRIDGE",
"state": "PA",
"postal_code": "150032375",
"telephone_number": "724-266-0707",
"fax_number": "724-266-3978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEPONIS",
"first_name": "GEORGE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD015931E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009926470001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ambridge, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.