Individual
MR. JOSEPH THOMAS KERPSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
83 W MILLER ST, ORLANDO, FL 32806-2031
(321) 841-5281
(407) 648-9879
Mailing address
83 W MILLER ST, ORLANDO, FL 32806-2031
(321) 841-5281
(407) 648-9879
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-07-4485-K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000179629
ANTHEM
—
01
—
07-02002
UHC
—
01
—
2079727
WELFARE CLASS
—
05
—
2079727
—
OH
01
—
215531
UPMC
—
01
—
341931777
CARELINK HEALTH PLAN
—
01
—
34193177700
WORKERS COMP
—
01
—
341931777B
AULTCARE
—
01
—
341931777JK
SUMMA CARE
—
01
—
KE977924
HIGHMARK
—
Enumeration date
07/14/2005
Last updated
06/27/2019
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