Earl Jay Reppert, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-20073 Issued in KS

Practice address

1133 College Ave
Suite E-110
Manhattan, KS 66502-2770

Phone

(785) 537-2651

Fax

(785) 537-4276

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1740361849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "SUITE E-110",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022770",
            "telephone_number": "785-537-2651",
            "fax_number": "785-537-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "SUITE E-110",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022770",
            "telephone_number": "785-537-2651",
            "fax_number": "785-537-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPPERT",
        "first_name": "EARL",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-20073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100161400C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "068002182",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell Reitz, MD
• Katie Rempel
• Ellen Odette Remsing, DDS
• Errol Frank Remsing, DDS
• Anthony Renteria, TLMSW
• Isaac W Reppert
• Res-Care Kansas, Inc
• Stephanie Resenbeck
• Restoration Center Inc
• Restored Counseling Services, LLC

• Family Medicine Physician in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.