Individual provider Active NPI

Anthony Repici, D.O.

  • General Practice Physician
  • Eagleville, PA
National Provider Identifier
1295871119
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS-003001-L Issued in PA
Practice address
100 Eagleville Rd
Eagleville, PA 19403-1829
Phone
(610) 539-6000
Fax
(610) 539-9314
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS-003001-L PA Primary

Addresses

Primary practice location

100 Eagleville Rd
Eagleville, PA 19403-1829

Mailing address

100 Eagleville Rd
Eagleville, PA 19403-1829
Phone (610) 539-6000

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)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS-003001-LPAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295871119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAGLEVILLE RD",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194031829",
            "telephone_number": "610-539-6000",
            "fax_number": "610-539-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAGLEVILLE RD",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194031829",
            "telephone_number": "610-539-6000",
            "fax_number": "610-539-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPICI",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS-003001-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagleville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.