W DAVID PEPPLE MD – NPI #1154382729
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

W DAVID PEPPLE MD is a provider located in FORT WAYNE, IN. NPPES has assigned the NPI number 1154382729 to W DAVID PEPPLE MD on March 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “W DAVID PEPPLE MD” is a dba name, the actual legal business name for this organization is NORTHEAST REGIONAL FAMILY PRACTICE P.C.. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 12 years ago on Jul 15, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for W DAVID PEPPLE MD below.

NPI Profile for
NORTHEAST REGIONAL FAMILY PRACTICE P.C.

NPI Number
1154382729
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHEAST REGIONAL FAMILY PRACTICE P.C.
Doing Business As (dba): W DAVID PEPPLE MD
Primary location
10327 DAWSONS CREEK BLVD 9 D
FORT WAYNE, IN 46825
Phone: (260) 424-8770 Fax: (260) 469-8774
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WALTER PEPPLE
PRESIDENT
Phone: (260) 422-8770
Updated
Identifiers

Identifiers for W DAVID PEPPLE MD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN100103630D
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
IN 01023389

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.