Provider Demographics
NPI:1386613131
Name:KARPEN, JAY L (MD)
Entity type:Individual
Prefix:
First Name:JAY
Middle Name:L
Last Name:KARPEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3402 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2964
Mailing Address - Country:US
Mailing Address - Phone:724-942-5188
Mailing Address - Fax:724-942-5878
Practice Address - Street 1:3402 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2964
Practice Address - Country:US
Practice Address - Phone:724-942-5188
Practice Address - Fax:724-942-5878
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-15
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD040757L208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E36347Medicare UPIN