Individual provider Active NPI

Samuel Ross Noble, M.D

  • Physical Medicine & Rehabilitation Physician
  • West Reading, PA
National Provider Identifier
1629642673
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
020407E Issued in PA
Practice address
200 Reading Ave
West Reading, PA 19611-1140
Phone
(610) 478-8662
Fax
(610) 478-8615
NPI assigned
May 14, 2021
Last updated
May 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 020407E PA Primary

Addresses

Primary practice location

200 Reading Ave
West Reading, PA 19611-1140

Mailing address

200 Reading Ave
West Reading, PA 19611-1140
Phone (610) 478-8662

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 Medicine

State licenses

LicenseStateTypeSpecialty
020407EPAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berhs Electrodiagnosis Rehab Medicine Physical Medicine & Rehabilitation CurrentSince May 16, 2021 Accepting new patients

Locations

200 Reading Ave
West Reading, PA 19611
Phone (610) 478-8662

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1629642673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 READING AVE",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111140",
            "telephone_number": "610-478-8662",
            "fax_number": "610-478-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 READING AVE",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111140",
            "telephone_number": "610-478-8662",
            "fax_number": "610-478-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "SAMUEL",
        "middle_name": "ROSS",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "020407E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.