Active NPI
Dennis W Rhoades, D.O.
- Family Medicine Physician
- Saint Marys, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS-005083-L
- Practice address
- 757 Johnsonburg Rd
Ground Floor Rehab Building
Saint Marys, PA 15857-3488 - Phone
- (814) 834-6300
- Fax
- (814) 781-1321
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS-005083-L | PA | Primary |
Addresses
Primary practice location
757 Johnsonburg Rd
Ground Floor Rehab Building
Saint Marys, PA 15857-3488
Mailing address
757 Johnsonburg Rd
Ground Floor Rehab Building
Saint Marys, PA 15857-3488
Phone (814) 834-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00964428 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, FL, VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8445 Dorchester Rd
North Charleston, SC 29420-7307
Phone (843) 640-5008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-005083-L | PA | MD | Family Medicine Physician |
| 1155 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Carenow Urgent Care, LLC | Current | Accepting new patients | |
| Northern Virginia Carenow Urgent Care, LLC | Current | Accepting new patients | |
| Jacksonville Carenow Urgent Care, LLC | Current | Accepting new patients | |
| Heathrow Internal Medicine LLC | Family Medicine | Past | Accepting new patients |
Locations
4888 Town Center Pkwy
Unit 107
Jacksonville, FL 32246
Phone (904) 800-1735
515 Saint James Ave
Goose Creek, SC 29445
Phone (843) 507-8925
8445 Dorchester Rd
North Charleston, SC 29420
Phone (843) 640-5008
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
3456 Historic Sully Way
Chantilly, VA 20151
Phone (703) 435-3838
4995 Westone Plz
Chantilly, VA 20151
Phone (571) 441-3980
46200 Potomac Run Plz
Sterling, VA 20164
Phone (571) 313-5087
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Goose Creek, SC
- NPI 1093248288
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1447771670
-
- Family Medicine Physician
- Lake Mary, FL
- NPI 1033387865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053401133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 JOHNSONBURG RD",
"address_2": "GROUND FLOOR REHAB BUILDING",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573488",
"telephone_number": "814-834-6300",
"fax_number": "814-781-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 JOHNSONBURG RD",
"address_2": "GROUND FLOOR REHAB BUILDING",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158573488",
"telephone_number": "814-834-6300",
"fax_number": "814-781-1321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHOADES",
"first_name": "DENNIS",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS-005083-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00964428",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Marys, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.