JASON A RUPEKA D O LLC NPI 1104080753

NPI Information

  • NPI: 1104080753
  • Provider Name: JASON A RUPEKA D O LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 2219 E MARKET ST
    WARREN, OH
    ZIP 44483
  • Phone: (330) 392-5800

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NPI Details

JASON A RUPEKA D O LLC is a family medicine in Warren, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JASON A RUPEKA D O LLC NPI is 1104080753. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2219 E MARKET ST
WARREN, OH
ZIP 44483-105
Phone: (330) 392-5800
Fax: (330) 392-6993

The provider's authorized official is Jason A Rupeka .
The authorized official title is Sole Member and has the following contact phone number (330) 392-5800.

The enumeration date for this NPI number is 7/14/2008 and was last updated on 7/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine34-008796OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12704943MEDICAIDOHIO
21942361928OTHERINDIVIDUAL NPI
3I66964MEDICARE UPINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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