David M Revak, D. O.
Individual provider Active NPI Family Medicine Physician · Reinholds, PA
NPI 1013029503 · NPPES record last updated Jun 14, 2011
Key facts
- NPI
- 1013029503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS005938L (PA)
- Practice address
- 171 Chapel View Dr
Reinholds, PA 17569-0119 - Phone
- (717) 336-5824
- Fax
- (717) 336-5401
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS005938L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Monaca | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Ephrata Community Hospital | Past | Accepting new patients | |
| Chiropractic Head&Neck Treatment Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS005938L | PA | Yes |
Addresses
Primary practice location
171 Chapel View Dr
Reinholds, PA 17569-0119
Mailing address
171 Chapel View Dr
P. O. Box 119
Reinholds, PA 17569-0119
Phone (717) 336-5824
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 542115 | Other | BLUE SHIELD | |
| 50051246 | Other | CAPITAL BLUE | |
| P005066 | Other | GATEWAY | |
| 4641800 | Other | AETNA | |
| P00262037 | Other | RAILROAD MEDICARE | |
| 0011813120004 | Medicaid | PA | |
| 5838474 | Other | USH/HMO |
Other providers in Reinholds, PA
- Dawa Zangmu Paljor Sherpa
- Julianne Dorothy Rees-Swartz
- Naomi Grace Rehrer
- Rick A Reinecker
- Reinholds Community Ambulance Assn, Inc
- Rick Reinecker DMD
- Robert Zalitchi DMD LLC
- Wellspan Medical Group
- Lois Jean Wida
- Abigail Wilson
All providers in Reinholds, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.