NPIMap

Organization Active NPI

James M Repko OD

  • Durable Medical Equipment & Medical Supplies
  • Cresson, PA
National Provider Identifier
1740454974
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0EG000703 Issued in PA
Legal business name
JAMES M REPKO OD
Practice address
505 2ND St
Cresson, PA 16630-1224
Phone
(814) 886-2906
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
James M RepkoNPI 1003807553
Title
OD
Phone
(814) 886-2906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0EG000703 PA Primary

Addresses

Primary practice location

505 2ND St
Cresson, PA 16630-1224

Mailing address

505 2ND St
Cresson, PA 16630-1224

National Provider Directory

National Provider Directory

Locations

505 2nd St
Cresson, PA 16630
Phone (814) 886-2906

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1740454974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 2ND ST",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166301224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 2ND ST",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166301224",
            "telephone_number": "814-886-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M REPKO OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "REPKO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "814-886-2906"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "0EG000703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresson, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.