Mary Elizabeth Reese, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA000413L Issued in PA

Practice address

550 W College Ave
Pleasant Gap, PA 16823-7401

Phone

(814) 359-5620

Fax

(814) 359-5629

NPI assigned

Apr 13, 2006

Last updated

Jul 15, 2013By the provider in NPPES

Sex

Female

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 1

Other names 1

• Liz Reese Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Centre Dermatology PC

  • Specialist
  • State College, PA
  • NPI 1427169218
  NPD (past)
• Richard D Allatt MD PC

  • Physical Medicine & Rehabilitation Physician
  • Pleasant Gap, PA
  • NPI 1487634291
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1811951395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168270251",
            "telephone_number": "814-235-3051",
            "fax_number": "814-359-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W COLLEGE AVE",
            "city": "PLEASANT GAP",
            "state": "PA",
            "postal_code": "168237401",
            "telephone_number": "814-359-5620",
            "fax_number": "814-359-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA000413L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50055176",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZ",
            "last_name": "REESE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amado Bamba Lugue Jr., MD
• Denise Marie McDonald, M.S.
• Amy McKee
• Kathryn Parisou, LMT
• Pleasant Gap Fire Co No 1
• Richard D Allatt MD PC
• Nichole Smith, PHARM.D
• Susquehanna Valley Prosthetics & Orthotics, Inc.
• Michael Tanitsky, DO
• Your Speech Matters LLC

• Medical Physician Assistant in Pleasant Gap, PA
• Providers in Pleasant Gap, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.