MR. CORY A TEPUS NPI 1962101980

NPI Information

  • NPI: 1962101980
  • Provider Name: MR. CORY A TEPUS
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4211 OH-44
    ROOTSTOWN, OH
    ZIP 44272
  • Phone: (234) 867-7676

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NPI Details

MR. Cory A Tepus is a gerontology nurse practitioner in Rootstown, OH with 4 years of experience. MR. Cory A Tepus NPI is 1962101980. 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:

4211 OH-44
ROOTSTOWN, OH
ZIP 44272
Phone: (234) 867-7676

The NPI 1962101980 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/28/2023 and was last updated on 3/15/2023.

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
1207R00000XInternal Medicine0032700OHIONo
2207RG0300XInternal MedicineGeriatric Medicine0032700OHIONo
3363LG0600XNurse PractitionerGerontology0032700OHIOYes

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: 11/21/2025

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