Dr. Jack Zepeda, MD, MPH
Family Medicine in Fort Smith, AR. Individual provider (NPI-1).
NPI number1184192510
StatusActive
Last updated in NPPESMay 17, 2022
Details
- NPI
- 1184192510
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jack Zepeda
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 3, 2018
- Certification date
- Jan 20, 2021
- Last updated
- May 17, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | E-13916 | AR | Yes |
| 207Q00000X | Family Medicine | 2018036941 | MO |
Practice location
1301 S E StFort Smith, AR 72901-4716
Phone 479-785-2431
Mailing address
1005 Mar Walt DrFort Walton Beach, FL 32547-6707
Phone 850-863-8100 · Fax 850-863-8548
Other practice locations
1005 Mar Walt Dr
Fort Walton Beach, FL 32547-6707
Fort Walton Beach, FL 32547-6707
Phone 850-863-6600 · Fax 850-862-0977
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