DR. MATTHEW KELSEY REPPERT (NPI# 1003880683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003880683 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW KELSEY REPPERT |
| Credential | M.D. |
| Practice Address |
20 Overbrook Rd Painted Post NY 14870-9339 |
| Practice Telephone | 6073680334 |
| Mailing Telephone | 6073680334 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2015-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 192911-1 | NY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD044340E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01431621 | 05 | |
| PA | 0014394690003 | 05 | |
| NY | RR MEDICARE PIN | 020049791 | 01 |
| NY | RR MEDICARE GROUP | CC8362 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104191618 | Matthew C Reppert | Chiropractor | 151 N Chestnut St, Bath, PA 18014-1138 | 2012-03-16 |
| Street Address |
20 OVERBROOK RD |
| City | PAINTED POST |
| State | NY |
| Zip Code | 14870-9339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609615 | Heather Stempin | Psychologist | 165 Charles Street, Painted Post, NY 14870 | 2017-03-08 |
| 1548641723 | Jennifer Graham | Social Worker | 9579 Vocational Drive G St Boces, Painted Post, NY 14870 | 2015-06-14 |
| 1336419779 | Kim M Dahl | Registered Nurse | 3414 Stanton Street, Painted Post, NY 14870 | 2012-01-03 |
| 1285910372 | Helen Elizabeth Schimizzi | Registered Nurse | 3414 Stamton St. Extension, Painted Post, NY 14870 | 2011-11-02 |
| 1487962742 | Jennifer Ann Glosenger | Speech-Language Pathologist | 3414 Stanton St, Calvin U Smith Elementary School, Painted Post, NY 14870 | 2010-09-21 |
| 1871734681 | Margene May Tichane | Family Medicine | 511 N. Hamilton St., Painted Post, NV 14870 | 2009-03-09 |
| 1154443273 | Donald D. Smith D.m.d.,pc | Dentist | 174 Village Square, Painted Post, NY 14870 | 2007-04-06 |
| 1003902263 | Valerie Jean Hammond | Dietitian, Registered | 9768 Liberty Drive, Painted Post, NY 14870 | 2006-10-05 |
| 1275506503 | David Kenneth Austin | Orthopaedic Surgery | 9768 Liberty Dr, Painted Post, NY 14870 | 2006-02-08 |
| 1710258033 | Lisa Christine Condefer-smith | Nurse Practitioner | 88 Tioga Ave, Suite 102, Corning, NY 14870 | 2012-01-18 |
| Find all providers in zip 14870 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321168 | Fernando Andres Angarita Celis | Surgery | Rosuell Park Comprehensive Cancer Center / Elm & Carlto, Streets / Scott Bieler Clinical Services Center 6th Fl, Buffalo, NY 14263 | 2020-09-23 |
| 1174147979 | North Shore-lij Medical Group At Huntington PC | Surgery | 2001 Marcus Ave Ste S50, New Hyde Park, NY 11042-1039 | 2020-06-08 |
| 1679194468 | Sowmya Sreekanth | Surgery | 124 Hutchinson Blvd, Mount Vernon, NY 10552-2510 | 2020-05-03 |
| 1558997015 | Health Quest Medcial Practice, PC | Surgery | 1240 Ulster Ave, Kingston, NY 12401-1517 | 2020-03-17 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1669014213 | Jason Euseph Copeland | Surgery | 665 Elm and Carlton Street Elm and Carlton Street, Buffalo, NY 14263-0001 | 2019-10-16 |
| 1023678984 | Core Surgical | Surgery | 133 E 58th St Ste 703, New York, NY 10022-1138 | 2019-06-13 |
| 1568923134 | Thompson Surgical Pllc | Surgery | 77 Alpine Way, South Huntington, NY 11746-4610 | 2019-03-27 |
| 1851863377 | Alice Chia-chi Wei | Surgery | 1275 York Ave Ste C-866a, New York, NY 10065-6007 | 2018-12-21 |
| Find all providers with the same taxonomy | ||||
| City | PAINTED POST |
| Zip Code | 14870 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.