NPIMap

Organization Active NPI

Reid Hospital & Health Care Services Inc

Doing business as Reid Hospital & Health Ca

  • Anesthesiology Physician
  • Richmond, IN
National Provider Identifier
1154350411
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
05-005044-1 Issued in IN
Legal business name
REID HOSPITAL & HEALTH CARE SERVICES INC
Doing business as
Reid Hospital & Health Ca
Practice address
1100 Reid Pkwy
Richmond, IN 47374-1157
Phone
(765) 983-3307
Fax
(765) 983-3106
NPI assigned
Jun 30, 2006
Last updated
Jan 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Mr. Craig Kinyon
Title
President - Reid Hospital
Phone
(765) 983-3123

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 05-005044-1 IN Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 05-005044-1 IN
Orthopaedic Surgery Physician 207X00000X 05-005044-1 IN
Geriatric Psychiatry Physician 2084P0805X 05-005044-1 IN
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 05-005044-1 IN

Addresses

Primary practice location

1100 Reid Pkwy
Richmond, IN 47374-1157

Mailing address

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3307

Other identifiers 2

IdentifierTypeStateIssuer
200181090AMedicaidIN
2482200MedicaidOH

Other names 1

  • REID HOSPITAL & HEALTH CA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323001254 IN Part B Supplier - Clinic/Group Practice 5799695920 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Richmond, IN

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1154350411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-983-3307",
            "fax_number": "765-983-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-983-3307",
            "fax_number": "765-983-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID HOSPITAL & HEALTH CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "KINYON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT - REID HOSPITAL",
        "authorized_official_telephone_number": "765-983-3123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "05-005044-1",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "05-005044-1",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "05-005044-1",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "IN",
            "license": "05-005044-1",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "IN",
            "license": "05-005044-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200181090A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2482200",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REID HOSPITAL & HEALTH CA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.