Active NPI
Sally Ann Rex, D.O.
- General Practice Physician
- Bethlehem, PA
National Provider Identifier
1467446468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- OS-002664-L
- Practice address
- 1343 Easton Ave
Bethlehem, PA 18018-2624 - Phone
- (610) 866-0900
- NPI assigned
- Sep 6, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | OS002664L | PA | |
| General Practice Physician | 208D00000X | OS-002664-L | PA | Primary |
Addresses
Primary practice location
1343 Easton Ave
Bethlehem, PA 18018-2624
Mailing address
1343 Easton Ave
Bethlehem, PA 18018-2624
Phone (610) 866-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120426000431 | PA | Practitioner - Family Practice | 8820250400 | Practice locations: Bethlehem, PA; Slatington, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS002664L | PA | MD | Adult Medicine Physician |
| OS-002664-L | PA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482969600000",
"number": "1467446468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1343 EASTON AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180182624",
"telephone_number": "610-866-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1343 EASTON AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180182624",
"telephone_number": "610-866-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REX",
"first_name": "SALLY ANN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-06",
"last_updated": "2016-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "PA",
"license": "OS002664L",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "OS-002664-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.