Active NPI
Wilmer Lynn Reep, MD
- Family Medicine Physician
- Texarkana, TX
National Provider Identifier
1013918093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E1244
- Practice address
- 2931 Richmond Rd
Texarkana, TX 75503-2125 - Phone
- (903) 614-3200
- Fax
- (903) 614-3525
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E1244 | TX | Primary |
| Family Medicine Physician | 207Q00000X | R4030 | AR |
Addresses
Primary practice location
2931 Richmond Rd
Texarkana, TX 75503-2125
Mailing address
5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
Phone (903) 614-3000
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4030 | AR | MD | Family Medicine Physician |
| E1244 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collom & Carney Clinic Association | Current | Accepting new patients | |
| Collom & Carney Clinic Association | Current | Accepting new patients | |
| Collom & Carney Clinic Association | Current | Accepting new patients |
Locations
5002 Cowhorn Creek Rd
Texarkana, TX 75503
Phone (903) 614-3008
Interoperability endpoints
- wlynn.reep.p1@direct.collom-carney.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Texarkana, TX
- NPI 1013252279
-
- Clinical Medical Laboratory
- Texarkana, TX
- NPI 1164405296
-
- Pain Medicine (Anesthesiology) Physician
- Texarkana, TX
- NPI 1962829747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1013918093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5002 COWHORN CREEK RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755039766",
"telephone_number": "903-614-3000",
"fax_number": "903-614-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2931 RICHMOND RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755032125",
"telephone_number": "903-614-3200",
"fax_number": "903-614-3525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEP",
"first_name": "WILMER",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E1244",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "R4030",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.