Individual provider Active NPI

Quinn M Repp, PA-C

  • Medical Physician Assistant
  • Akron, OH
National Provider Identifier
1801308531
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.005320RX Issued in OH
Practice address
880 Mull Ave Ste 100
Akron, OH 44313-7522
Phone
(330) 864-8898
Fax
(330) 864-8865
NPI assigned
Nov 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.005320RX OH Primary

Addresses

Primary practice location

880 Mull Ave Ste 100
Akron, OH 44313-7522

Mailing address

880 Mull Ave Ste 100
Akron, OH 44313-7522
Phone (330) 864-8898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180503002042 OH Practitioner - Physician Assistant 9638433394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manor Management Company IncGroup PAC ID 7012911209, 7 clinicians

Practice addresses (Care Compare)

1168 Alliance Rd NW
Minerva, OH 44657-8736
Phone (330) 868-3711

1207 W State St
Suite N
Alliance, OH 44601-4686
Phone (330) 821-3244

4080 Holiday St NW
Canton, OH 44718-2513
Phone (330) 492-8117

Hospital & facility affiliations

  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.005320RXOHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurocare Sleep Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: quinn.repp.1@2706.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22081/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1801308531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 MULL AVE STE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137522",
            "telephone_number": "330-864-8898",
            "fax_number": "330-864-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 MULL AVE STE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137522",
            "telephone_number": "330-864-8898",
            "fax_number": "330-864-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPP",
        "first_name": "QUINN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.005320RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.