JEFFREY B. PUPP NPI 1831108869

NPI Information

NPI: 1831108869
Provider Name: JEFFREY B. PUPP
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1602 DOCTORS CIR
WILMINGTON, NC
ZIP 28401
Phone: (910) 343-8889
Get Directions

JEFFREY B. PUPP is a foot and ankle surgery podiatrist in Wilmington, NC. JEFFREY B. PUPP NPI is 1831108869. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1602 DOCTORS CIR
WILMINGTON, NC
ZIP 28401-406
Phone: (910) 343-8889
Fax: (910) 343-9990

The provider's authorized official is Jeffrey B Pupp .
The authorized official title is Owner and has the following contact phone number (910) 343-8889.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 11/5/2007.

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	213ES0131X	Podiatrist	Foot Surgery	230	NORTH CAROLINA	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	449	NORTH CAROLINA	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	B1115	OTHER	NORTH CAROLINA	MEDCOST
2	2432650	OTHER	NORTH CAROLINA	MEDICARE PTAN
3	890231R	MEDICAID	NORTH CAROLINA
4	CC3025	OTHER	NORTH CAROLINA	RAILROAD MEDICARE PTAN
5	0140580001	MEDICARE NSC	NORTH CAROLINA
6	0231R	OTHER	NORTH CAROLINA	BCBS NC

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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