JESSICA ANN THOMES PEPIN (NPI# 1013159029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013159029 |
| Entity Type | Individual |
| Full Name | JESSICA ANN THOMES PEPIN |
| Credential | M.D. |
| Practice Address |
6025 Lake Rd Ste 110 Woodbury MN 55125 |
| Mailing Address |
6025 Lake Rd Ste 110 Woodbury MN 55125-1709 |
| Practice Telephone | 6517357414 |
| Practice Fax Number | 6517351827 |
| Mailing Telephone | 6517357414 |
| Mailing Fax Number | 6517351827 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2018-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 61218 | MN | Allopathic & Osteopathic Physicians |
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
61218 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
6025 LAKE RD STE 110 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093760290 | Girum L Lemma | Internal Medicine | 6025 Lake Rd Ste 110, Woodbury, MN 55125-1709 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245505239 | Regional Cancer Care Associates | Obstetrics & Gynecology | 608 N Broad St, Suite 300, Woodbury, NJ 08096-1794 | 2012-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356687255 | John E. Savage, M.d., P.a. | Obstetrics & Gynecology | 280 N Smith Ave, Suite 311, St Paul, MN 55102-2424 | 2012-12-20 |
| 1326204942 | Lori Weinberg | Obstetrics & Gynecology | 11850 Blackfoot St Nw Ste 100, Coon Rapids, MN 55433-2774 | 2008-08-03 |
| 1184732406 | Ebrahim Versi | Obstetrics & Gynecology | 6585 City West Pkwy, Eden Prairie, MN 55344-3248 | 2006-08-27 |
| 1013478775 | Kelly Jean Killian | Obstetrics & Gynecology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-03-26 |
| 1669825717 | Fiorella Enid Reyes Baez | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-07-13 |
| 1629459961 | Rachel Mansfield Bramblet | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-06-12 |
| 1427445816 | Clarissa Polen-de | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-04-23 |
| 1831535558 | Adrianne Rose Mallen | Obstetrics & Gynecology | 6500 Excelsior Blvd, Saint Louis Park, MN 55426-4702 | 2013-05-21 |
| 1639418452 | Lauren Thomaier | Obstetrics & Gynecology | 515 Delaware Street Se, 12th Floor Moos, Division of Gynecologic Oncology, Minneapolis, MN 55455 | 2013-02-14 |
| 1588922488 | Andrea Smiens O'shea | Obstetrics & Gynecology | 6500 Excelsior Blvd, St Louis Park, MN 55426 | 2012-04-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.