DR. JENNIFER LEE PEPPERS (NPI# 1982780292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982780292 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LEE PEPPERS |
| Credential | MD |
| Practice Address |
1775 Thompson Rd Coos Bay OR 97420-2125 |
| Mailing Address |
454 Old Street Rd Suite 201 Peterborough NH 03458-1200 |
| Practice Telephone | 5412698111 |
| Mailing Telephone | 6039244668 |
| Mailing Fax Number | 6039244669 |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | CP202380 | OR | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 12708 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3853025 | 05 | |
| NH | 30208937 | 05 | |
| NH | MEDICARE PTAN | 001628901 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 454 Old Street Rd, Suite 201, Peterborough, NH 034581200 | 6039244668 | 6039244669 |
| Street Address |
1775 THOMPSON RD |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494757 | Bradley G Titus | Internal Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2005-08-17 |
| 1952870230 | Cari Fraley | Clinic/Center | 1775 Thompson Rd, Rehabiliation Department, Coos Bay, OR 97420 | 2018-11-16 |
| 1225511322 | Kylie Webb Tresher Winquist | Physician Assistant | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2018-09-13 |
| 1396242863 | Ezgi Ertemin-pearson | Dietitian, Registered | 1775 Thompson Rd, Coos Bay, OR 97420-2198 | 2018-04-10 |
| 1710480397 | Coos Radiosurgery Group LLC | Radiology | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2018-03-09 |
| 1760982474 | Kellene A Fisler | Nurse Practitioner | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2018-02-19 |
| 1194247577 | Tara Sprague | Dietitian, Registered | 1775 Thompson Rd, Coos Bay, OR 97420 | 2017-07-07 |
| 1639626724 | Nicole Fennell | Physician Assistant | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2016-09-06 |
| 1063893402 | Cep America LLC | Emergency Medicine | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2015-06-11 |
| 1770996589 | Anushi Bulumulle | Student in an Organized Health Care Education/Training Program | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2014-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| Find all providers in zip 97420 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982088464 | Alex Michael Spencer | Surgery | 1750 Thompson Rd, Coos Bay, OR 97420-2195 | 2015-07-15 |
| 1184010191 | Derek Knight Rogalsky | Surgery | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2015-04-07 |
| 1457775611 | Nhan Pham | Surgery | 1750 Thompson Rd, Coos Bay, OR 97420-2100 | 2014-02-09 |
| 1710197116 | Raphael El Youssef | Surgery | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2007-05-23 |
| 1376572289 | Abel A. Garibaldi | Surgery | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2006-07-02 |
| 1710931969 | Donald E Poage | Surgery | 1775 Thompson Rd, Coos Bay, OR 97420-2125 | 2006-05-20 |
| 1942274956 | Charles W James | Surgery | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2006-02-15 |
| 1164408332 | Philip John Keizer | Surgery | 1900 Woodland Dr, Coos Bay, OR 97420-0000 | 2005-12-20 |
| 1649256892 | Steven Alan Tersigni | Surgery | 1900 Woodland Dr, Coos Bay, OR 97420-0000 | 2005-12-20 |
| 1659355220 | Frank Andrus Larson | Surgery | 1900 Woodland Dr, Coos Bay, OR 97420-0000 | 2005-12-06 |
| Find all providers in COOS BAY | ||||
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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.