Individual provider Active NPI

John Reefer, M.D.

  • Internal Medicine Physician
  • Butler, PA
National Provider Identifier
1093743304
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD021615E Issued in PA
Practice address
480 E Jefferson St
2ND Floor, Suite B
Butler, PA 16001-4780
Phone
(727) 285-0870
Fax
(724) 283-3887
NPI assigned
Jun 28, 2006
Last updated
Aug 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD021615E PA Primary

Addresses

Primary practice location

480 E Jefferson St
2ND Floor, Suite B
Butler, PA 16001-4780

Mailing address

1022B N Main St
Butler, PA 16001-1954
Phone (724) 282-7910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
MD021615EPAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1093743304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022B N MAIN ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011954",
            "telephone_number": "724-282-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 E JEFFERSON ST",
            "address_2": "2ND FLOOR, SUITE B",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014780",
            "telephone_number": "727-285-0870",
            "fax_number": "724-283-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEFER",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD021615E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.