Allen G Rebchook, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

41227-020 Issued in WI

Practice address

2265 9TH Ave
Havre, MT 59501-5220

Phone

(406) 390-2423

NPI assigned

Apr 17, 2006

Last updated

Jun 18, 2015By 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Dean Health Systems, Inc,

  dba Dean Clinic-Beaver Dam Family & Sports Orthopedic Center

  • Durable Medical Equipment & Medical Supplies
  • Beaver Dam, WI
  • NPI 1336425016
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1073577862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 9TH AVE",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015220",
            "telephone_number": "406-390-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 9TH AVE",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015220",
            "telephone_number": "406-390-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBCHOOK",
        "first_name": "ALLEN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "41227-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "7198",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32590700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS PLUS",
            "identifier": "1034115",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physical Therapy Down Under Inc
• John K Pike, M.D.
• Dominique Dynse Preputin, PHARM D, RPH
• Radiology Associates
• Renee Ratliff, MED, LCPC
• Connie S Reichelt, APRN, FNP
• Lindsey Reichelt, LCSW
• Thomas Joseph Reid III, MD
• Sydney Renaud, RDH
• Renee H. Ratliff

• Surgery Physician in Havre, MT
• Providers in Havre, MT by specialty
• Surgery Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.