Kevin M Reid, DO

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

34002459R Issued in OH

Practice address

425 W Grand Ave
Suite 2001
Dayton, OH 45405-4775

Phone

(937) 226-7887

Fax

(937) 224-5098

NPI assigned

Aug 3, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1073514709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W GRAND AVE",
            "address_2": "SUITE 2001",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054775",
            "telephone_number": "937-226-7887",
            "fax_number": "937-224-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W GRAND AVE",
            "address_2": "SUITE 2001",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054775",
            "telephone_number": "937-226-7887",
            "fax_number": "937-224-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OH",
            "license": "34002459R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "000000008389",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0396076",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Lynn Reichard, DO
• Daniel A Reichert, DDS
• Kayhla Reichert
• Graham Kiyoshi Reid, DO RESIDENT/TRAINEE
• Karen D Reid
• Larry Ellis Reid Jr.
• Thomas J a Reid, MD
• Bradley Reigelsperger
• Dawn Reigle, LSW
• Reignbow Home Care Inc.

• Neuromusculoskeletal Medicine & OMM Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.