David M Revak, D. O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS005938L Issued in PA

Practice address

171 Chapel View Dr
Reinholds, PA 17569-0119

Phone

(717) 336-5824

Fax

(717) 336-5401

NPI assigned

Aug 31, 2006

Last updated

Jun 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiropractic Head&Neck Treatment Center

  • Primary Care Clinic/Center
  • New Holland, PA
  • NPI 1265629703
  NPD (past)
• Ephrata Community Hospital

  dba WellSpan Ephrata Community Hospital

  • Psychiatric Hospital Unit
  • Ephrata, PA
  • NPI 1215452354
  NPD (past)
• Medexpress Urgent Care, PC - Monaca

  • Urgent Care Clinic/Center
  • Monaca, PA
  • NPI 1801040092
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1013029503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 CHAPEL VIEW DR",
            "address_2": "P. O. BOX 119",
            "city": "REINHOLDS",
            "state": "PA",
            "postal_code": "175690119",
            "telephone_number": "717-336-5824",
            "fax_number": "717-336-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 CHAPEL VIEW DR",
            "city": "REINHOLDS",
            "state": "PA",
            "postal_code": "175690119",
            "telephone_number": "717-336-5824",
            "fax_number": "717-336-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVAK",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "D. O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005938L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "542115",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4641800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00262037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "P005066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE",
            "identifier": "50051246",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011813120004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USH/HMO",
            "identifier": "5838474",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawa Zangmu Paljor Sherpa
• Julianne Dorothy Rees-Swartz
• Naomi Grace Rehrer
• Rick A Reinecker, D.M.D.
• Reinholds Community Ambulance Assn, Inc
• Rick Reinecker DMD (Adamstown Family Dentistry)
• Robert Zalitchi DMD LLC
• Wellspan Medical Group (WellSpan Family Medicine-Cocalico)
• Lois Jean Wida, O.D.
• Abigail Wilson, LCSW

• Family Medicine Physician in Reinholds, PA
• Providers in Reinholds, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.