Active NPI
Carol A. Rehermann, PA-C
- Physician Assistant
- Du Bois, PA
National Provider Identifier
1275609422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA000204L
- Practice address
- 529 Sunflower Dr
Du Bois, PA 15801-2378 - Phone
- (814) 371-1510
- Fax
- (814) 371-2922
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA000204L | PA | Primary |
Addresses
Primary practice location
529 Sunflower Dr
Du Bois, PA 15801-2378
Mailing address
100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-6560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1031516560001 | Medicaid | PA |
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubois Regional Medical Center | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Penn Highlands DuBois
- General Acute Care Hospital
- Du Bois, PA
- NPI 1144249657
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1275609422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL AVE",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011440",
"telephone_number": "814-375-6560",
"fax_number": "814-372-2848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 SUNFLOWER DR",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158012378",
"telephone_number": "814-371-1510",
"fax_number": "814-371-2922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REHERMANN",
"first_name": "CAROL",
"middle_name": "A.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA000204L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1031516560001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.