DR. JAMES EDWARD REPKO (NPI# 1134537384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134537384 |
| Entity Type | Individual |
| Full Name | DR. JAMES EDWARD REPKO |
| Credential | DPM |
| Practice Address |
711 Logan Blvd Altoona PA 16602 |
| Mailing Address |
508 S Habana Ave Ste 230 Tampa FL 33609-4161 |
| Practice Telephone | 8149433668 |
| Practice Fax Number | 8149427635 |
| Mailing Telephone | 8149433668 |
| Mailing Fax Number | 8149427635 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2020-07-31 |
| NPI Deactivation Date | 07/19/2020 |
| NPI Reactivation Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | SC006712 | PA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO4191 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103279563001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003807553 | James M Repko | Optometrist | 505 2nd St, Cresson, PA 16630-1224 | 2005-11-03 |
| Street Address |
711 LOGAN BLVD |
| City | ALTOONA |
| State | PA |
| Zip Code | 16602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942204367 | Gary A Raymond | Podiatrist | 711 Logan Blvd, Altoona, PA 16602-4165 | 2005-06-13 |
| 1376811570 | Gary A Raymond Dpm PC | Podiatrist | 711 Logan Blvd, Altoona, PA 16602-4165 | 2011-12-02 |
| 1033159538 | Matthew T Sabol | Podiatrist | 711 Logan Blvd, Altoona, PA 16602-4165 | 2006-06-07 |
| 1528027794 | William J Wiedemer | Podiatrist | 711 Logan Blvd, Altoona, PA 16602-4165 | 2006-03-17 |
| 1306841333 | Terry Wills | Podiatrist | 711 Logan Blvd, Altoona, PA 16602-4165 | 2005-06-16 |
| 1780689737 | Lenore Jolene Moyer | Podiatrist | 711 Logan Blvd, Altoona, PA 16602-4165 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817646 | John Francis Cain | Registered Nurse | 319 Meadowlark Ave, Altoona, PA 16602 | 2020-10-06 |
| 1023650991 | Rahaf Obeid | Pharmacist | 508 E Plank Road, Altoona, PA 16602 | 2019-10-12 |
| 1346713641 | Justin M Delasko | Dietitian, Registered | 905 Logan Blvd, Altoona, PA 16602 | 2019-01-09 |
| 1679932420 | Dottie Jean Morgan | Speech-Language Pathologist | 501 Valley View Blvd., Altoona, PA 16602 | 2016-02-22 |
| 1922409283 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1600 9th Avenue, Altoona, PA 16602 | 2014-09-05 |
| 1972918878 | Grane Hospice Care, Inc. | Hospice Care, Community Based | 115 Union Ave Ste 100, Altoona, PA 16602 | 2014-06-30 |
| 1033524921 | Grane Hospice Care, Inc. | Home Health | 115 Union Ave Ste 300, Altoona, PA 16602 | 2014-06-30 |
| 1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
| 1497042576 | Michala Seidel | Counselor | 3010 7th Avenue, Alternative Community Resource Program, Altoona, PA 16602 | 2011-07-08 |
| 1205121647 | Rebekah Brown | Preventive Medicine | 301 E Pleasant Valley Blvd., Altoona, PA 16602 | 2011-06-14 |
| Find all providers in zip 16602 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598086472 | Alexis Nicole Ley | Podiatrist | 3000 Fairway Dr, Altoona, PA 16602-4472 | 2010-06-15 |
| 1083734651 | Adam M Budny | Podiatrist | 3000 Fairway Dr, Altoona, PA 16602-4472 | 2007-03-29 |
| 1093857039 | Blair Medical Associates | Podiatrist | 1414 9th Ave, Station Medical Center, Altoona, PA 16602-2415 | 2007-02-13 |
| 1508964891 | Annette B Caporusso | Podiatrist | 1200 Oakleaf Way, Suite A, Altoona, WI 54720-2245 | 2006-09-20 |
| 1306841333 | Terry Wills | Podiatrist | 711 Logan Blvd, Altoona, PA 16602-4165 | 2005-06-16 |
| 1780689737 | Lenore Jolene Moyer | Podiatrist | 711 Logan Blvd, Altoona, PA 16602-4165 | 2005-06-16 |
| 1366445587 | Eric Francis Caporusso | Podiatrist | 1200 Oakleaf Way, Suite A, Altoona, WI 54720-2245 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
| 1841819463 | Michael A Savisky | Podiatrist | West Penn Hospital, 4800 Friendship Avenue/foot and Ankle Institute, Pittsburgh, PA 15224-1793 | 2020-04-14 |
| 1114551140 | Gretchen M Perschke | Podiatrist | 104 Technology Dr Ste 103, Butler, PA 16001-1801 | 2020-02-28 |
| 1912537960 | Brian J Morris | Podiatrist | 103 Tamara Dr, Old Forge, PA 18518-2342 | 2020-01-17 |
| 1205477973 | New Step Podiatry Associates, LLC | Podiatrist | 2076 Huber Dr, Quakertown, PA 18951-3888 | 2019-10-03 |
| 1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
| 1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
| 1891345104 | Bay City Associates In Podiatry Inc | Podiatrist | 105 Mead Ave Ste A, Meadville, PA 16335-3531 | 2019-09-18 |
| 1093367203 | Gary A. Raymond Dpm PC | Podiatrist | 195 Memorial Dr Ste 6, Everett, PA 15537-7056 | 2019-07-09 |
| 1992357115 | Gary A. Raymond, Dpm, PC | Podiatrist | 1225 Warm Springs Avenue, 3rd Floor, Huntingdon, PA 16652-7146 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
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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.