Active NPI
Rebecca Sue Rea, D.O.
- Family Medicine Physician
- New Baltimore, MI
National Provider Identifier
1942313788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101012395
- Practice address
- 30500 Twenty Three Mile Road
New Baltimore, MI 48047 - Phone
- (586) 948-5100
- Fax
- (586) 948-5103
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101012395 | MI | Primary |
Addresses
Primary practice location
30500 Twenty Three Mile Road
New Baltimore, MI 48047
Mailing address
PO Box 100
North Street, MI 48049
Phone (586) 948-5100
Other names 1
- Rebecca Sue Gibb - Harris
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428364800000",
"number": "1942313788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "NORTH STREET",
"state": "MI",
"postal_code": "48049",
"telephone_number": "586-948-5100",
"fax_number": "586-948-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30500 TWENTY THREE MILE ROAD",
"city": "NEW BALTIMORE",
"state": "MI",
"postal_code": "48047",
"telephone_number": "586-948-5100",
"fax_number": "586-948-5103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REA",
"first_name": "REBECCA",
"middle_name": "SUE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2015-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101012395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "GIBB - HARRIS",
"middle_name": "SUE",
"credential": "D.O.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in New Baltimore, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.