Active NPI
Kurt B. Repke, M.D., P.a.
- Ophthalmology Physician
- Dunedin, FL
National Provider Identifier
1154530707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME0079899
- Legal business name
- KURT B. REPKE, M.D., P.A.
- Practice address
- 646 Virginia St
5TH Floor
Dunedin, FL 34698-6612 - Phone
- (727) 736-7873
- Fax
- (727) 736-7905
- NPI assigned
- May 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kurt Bryan Repke, M.D.
- Title
- President
- Phone
- (727) 736-7873
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME0079899 | FL | Primary |
Addresses
Primary practice location
646 Virginia St
5TH Floor
Dunedin, FL 34698-6612
Mailing address
1965 Cove LN
Clearwater, FL 33764-6426
Phone (727) 736-7873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- St Petersburg, FL
- NPI 1275532772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154530707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 COVE LN",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337646426",
"telephone_number": "727-736-7873",
"fax_number": "727-736-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "646 VIRGINIA ST",
"address_2": "5TH FLOOR",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346986612",
"telephone_number": "727-736-7873",
"fax_number": "727-736-7905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KURT B. REPKE, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REPKE",
"authorized_official_first_name": "KURT",
"authorized_official_middle_name": "BRYAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-736-7873",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME0079899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunedin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.