Active NPI
Steven M Reppert, M.D.
- Research Study Specialist
- Worcester, MA
National Provider Identifier
1902036528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Study Specialist
- License
- 39414
- Practice address
- 364 Plantation St
Lrb728
Worcester, MA 01605-4321 - Phone
- (508) 856-6148
- Fax
- (508) 856-6233
- NPI assigned
- Jul 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Study Specialist | 1744R1102X | 39414 | MA | Primary |
Addresses
Primary practice location
364 Plantation St
Lrb728
Worcester, MA 01605-4321
Mailing address
364 Plantation St
Lrb728
Worcester, MA 01605-4321
Phone (508) 856-6148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208000000X | Other | MA | NOT INVOVLED WITH DIRECT OR INDIRECT PATIENT CARE IN MASSACHUSETTS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39414 | MA | MD | Research Study Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247702400000",
"number": "1902036528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 PLANTATION ST",
"address_2": "LRB728",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016054321",
"telephone_number": "508-856-6148",
"fax_number": "508-856-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "364 PLANTATION ST",
"address_2": "LRB728",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016054321",
"telephone_number": "508-856-6148",
"fax_number": "508-856-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPPERT",
"first_name": "STEVEN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-16",
"last_updated": "2009-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": "MA",
"license": "39414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOT INVOVLED WITH DIRECT OR INDIRECT PATIENT CARE IN MASSACHUSETTS",
"identifier": "208000000X",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.