National Provider Identifier

Matthew Kelsey Reppert, M.D.

Matthew Kelsey Reppert, M.D. is listed in the NPPES registry with a primary specialty of Surgery Physician in Painted Post, NY and a listed phone number of (607) 368-0334.

NPI 1003880683Painted Post, NYSurgery Physician

Profile Overview

NPI
1003880683
Provider Type
Individual
Primary Specialty
Surgery Physician
Enumeration Date
February 13, 2006
Last Updated
June 09, 2015

Practice Location

  • 20 Overbrook RD
  • Painted Post, NY 14870-9339

Phone: (607) 368-0334

Specialties

  • Surgery Physician (208600000X)
  • Surgery Physician (208600000X)
Full Record
NPI
1003880683
Entity Type
Individual
Last Name
Reppert
First Name
Matthew
Middle Name
Kelsey
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
20 Overbrook RD
Mailing City
Painted Post
Mailing State
NY
Mailing ZIP Code
14870-9339
Mailing Country
US
Mailing Phone
(607) 368-0334
Practice Street Address
20 Overbrook RD
Practice City
Painted Post
Practice State
NY
Practice ZIP Code
14870-9339
Practice Country
US
Practice Phone
(607) 368-0334
Enumeration Date
February 13, 2006
Last Updated
June 09, 2015
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgery Physician (208600000X), Surgery Physician (208600000X)
Other Identifiers
01431621 (NY), CC8362 (NY, Rr Medicare Group), 020049791 (NY, Rr Medicare Pin), 0014394690003 (PA)