DR. RUSSELL WAYNE ZEPEDA M.D. NPI 1538371968

NPI Information

NPI: 1538371968
Provider Name: DR. RUSSELL WAYNE ZEPEDA, M.D.
Classification: Contractor - 171WH0202X
Entity Type: Individual

Specialization: Home Modifications

Address:
553 WEATHERSTONE RD
MAMMOTH SPRING, AR
ZIP 72554
Phone: (870) 625-0037
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DR. Russell Wayne Zepeda, M.D. is a home modifications contractor in Mammoth Spring, AR. DR. Russell Wayne Zepeda, M.D. NPI is 1538371968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

553 WEATHERSTONE RD
MAMMOTH SPRING, AR
ZIP 72554-479
Phone: (870) 625-0037
Fax: (870) 625-0037

The enumeration date for this NPI number is 5/6/2007 and was last updated on 7/8/2007.

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
1	171WH0202X	Contractor	Home Modifications	E-2608	ARKANSAS	Yes

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
1	B27819	MEDICARE UPIN	ARIZONA

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: 11/14/2023

NPI Synchronization or Removal

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