Dr. Sally Ann Rex
General Practice

Address: 1343 Easton Ave, Bethlehem, PA 18018-2624
Phone: 6108660900

Dr. Sally Ann Rex (NPI# 1467446468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1467446468
Entity Type Individual
Full Name Dr. Sally Ann Rex
Credential D.O.
Gender Female
Practice Address 1343 Easton Ave
Bethlehem
PA 18018-2624
Practice Telephone 6108660900
Mailing Address 1343 Easton Ave
Bethlehem
PA 18018-2624
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2005-09-06
Last Update Date 2016-12-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207QA0505X Family Medicine · Adult Medicine Allopathic & Osteopathic Physicians OS002664L PA
Yes 208D00000X General Practice Allopathic & Osteopathic Physicians OS-002664-L PA

Physician Overview

NPI 1467446468
PAC ID by PECOS 8820250400
Professional Enrollment ID I20120426000431
Full Name Sally Ann Rex
Phone Number 6108660900
Gender F
Medical School PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 1969
Primary Specialty FAMILY PRACTICE
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390049 ST LUKE'S HOSPITAL BETHLEHEM
390133 LEHIGH VALLEY HOSPITAL
390194 BLUE MOUNTAIN HOSPITAL-GNADEN HUETTEN CAMPUS

Office Location

Street Address 1343 EASTON AVE
City BETHLEHEM
State PA
Zip Code 18018-2624

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841471745 Sally A Rex Family Medicine 1343 Easton Ave, Bethlehem, PA 18018-2624 2007-11-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780106179 Courtney Jane Kruscavage Specialist/Technologist 641 Dellwood Street, Bethlehem, PA 18018 2017-07-07
1205357936 Balanced Body Therapeutic Massage, LLC Massage Therapist 227 W Broad St Ste 102, Bethlehem, PA 18018 2017-07-03
1578962841 Elizabeth Veronica Weiss Iobst Counselor 1754 W. Broad St., Bethlehem, PA 18018 2014-08-22
1255771739 Inner Resources Counseling Inc Counselor 807 West Broad St, Bethlehem, PA 18018 2013-06-28
1437404878 St Luke Hospital General Acute Care Hospital 1956 C Allwood Dr., Bethlehem, PA 18018 2012-07-23
1275802944 St. Luke's Physician Group, Inc Ophthalmology 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 2011-12-23
1609152594 Holy Family Manor Skilled Nursing Facility 1200 Spring Street, Bethlehem, PA 18018 2011-10-24
1326353954 Fassmed Equipment & Supplies, Inc Durable Medical Equipment & Medical Supplies 1421 Center Street, Bethlehem, PA 18018 2010-08-06
1962665513 Mark I Lischner Anesthesiology 1 W Broad St Ste 506, Bethlehem, PA 18018 2008-07-03
1215190871 Jessica Marie Delong Occupational Therapy Assistant 634 East Broad Street, Rehabcare Moravian Village, Bethlehem, PA 18018 2008-07-03
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1235636184 Jennifer M. Casper General Practice 1760 Friedensville Rd, Bethlehem, PA 18015-5023 2018-04-08
1093071631 Roger Joseph Branson General Practice 12 Woodcreek Rd, Bethlehem, CT 06751-1705 2012-04-09
1902076821 Andrew Dattila General Practice 11 W 2nd St, Riverport#135, Bethlehem, PA 18015-1282 2008-03-06
1184756595 St. Luke's Hospital General Practice 801 Ostrum St, Bethlehem, PA 18015-1000 2007-03-12
1558465864 Susan Comer Kitei General Practice 36 University Dr, Bethlehem, PA 18015-3061 2006-09-08
1609898584 Alc of Lehigh Valley Inc General Practice 3101 Emrick Blvd, Suite #201, Bethlehem, PA 18020-8037 2006-07-23

Providers in the same taxonomy and state

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1447722863 Integrated Wound Care Pennsylvania Pllc General Practice 4400 W Girard Ave, Philadelphia, PA 19104-1002 2018-12-24
1972072288 Paula Alejandra Pino Pommer General Practice 3551 North Broad St., Philadelphia, PA 19140-4160 2018-11-15
1891277620 Donald C. Cameron General Practice 718 Kennett Pike, Chadds Ford, PA 19317 2018-08-29
1811474406 Kylie Mcnerlin General Practice 676 Washington Street, Huntingdon, PA 16652 2018-07-26
1124510888 Healing Place Medical, P.C. General Practice 1600 Horizon Dr Ste 122123, Chalfont, PA 18914-4100 2018-05-30
1366933186 Benjamin Abney General Practice Hershey Medical Center, 500 University Drive, Hershey, PA 17033 2018-05-29
1912498973 Jennifer Ann Kern General Practice 210 Edgemont Ave, Palmerton, PA 18071-1208 2018-05-25
1689183121 Gem Wound Specialists, LLC General Practice 250 N Columbus Blvd Apt 707, Philadelphia, PA 19106-1458 2017-09-27
1962911750 Keystone Functional Medicine, PC General Practice 1689 Crown Ave Ste 5, Lancaster, PA 17601 2017-09-25
1669990016 Zachary Daniel Crouse General Practice 13115 Dickeys Rd, Mercersburg, PA 17236-9684 2017-09-06
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Competitor

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City BETHLEHEM
Zip Code 18018

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Dataset Information

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.

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