Organization Active NPI

Rosalee Rehrig D.O., P.C.

  • Family Medicine Physician
  • New Ringgold, PA
National Provider Identifier
1073708731
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS 011171-L Issued in PA
Legal business name
ROSALEE REHRIG D.O., P.C.
Practice address
1976 W Penn Pike
New Ringgold, PA 17960-9396
Phone
(570) 386-8861
Fax
(570) 386-8862
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Mrs. Amanda J Kuhn
Title
Ofice Manager
Phone
(570) 386-8861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS 011171-L PA Primary

Addresses

Primary practice location

1976 W Penn Pike
New Ringgold, PA 17960-9396

Mailing address

1976 W Penn Pike
New Ringgold, PA 17960-9396
Phone (570) 386-8861

Other identifiers 4

IdentifierTypeStateIssuer
1019671310001MedicaidPA
80533OtherGEISINGER
1963833OtherPAPA BLUE SHIELD
002856OtherFIRST PRIORITY HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071101000032 PA Part B Supplier - Clinic/Group Practice 8921195371 Receives reassigned benefits from 1 practitioner
Practice locations: New Ringgold, PA

National Provider Directory

National Provider Directory

Locations

2175 Blakeslee Boulevard Dr W
Lehighton, PA 18235
Phone (570) 386-4171

1976 W Penn Pike
New Ringgold, PA 17960
Phone (570) 386-8861

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1073708731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 W PENN PIKE",
            "city": "NEW RINGGOLD",
            "state": "PA",
            "postal_code": "179609396",
            "telephone_number": "570-386-8861",
            "fax_number": "570-386-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 W PENN PIKE",
            "city": "NEW RINGGOLD",
            "state": "PA",
            "postal_code": "179609396",
            "telephone_number": "570-386-8861",
            "fax_number": "570-386-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSALEE REHRIG D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "KUHN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFICE MANAGER",
        "authorized_official_telephone_number": "570-386-8861",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS 011171-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019671310001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "80533",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "1963833",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "002856",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Ringgold, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.