Individual provider Active NPI

Fred Michael Reid, M.D.

  • Emergency Medicine Physician
  • Alexandria, LA
National Provider Identifier
1154355287
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
012225 Issued in LA
Practice address
311 Camille St
Alexandria, LA 71301-2702
Phone
(318) 448-8548
Fax
(318) 448-8548
NPI assigned
Jul 11, 2006
Last updated
Jan 21, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 012225 LA Primary
Emergency Medicine Physician 207P00000X 07848 MS

Addresses

Primary practice location

311 Camille St
Alexandria, LA 71301-2702

Mailing address

311 Camille St
Alexandria, LA 71301-2702
Phone (318) 448-8548

Other identifiers 1

IdentifierTypeStateIssuer
1344257MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031211000363 LA Practitioner - Emergency Medicine 7214833060 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
012225LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saline Emergency Group, LLC Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Kisatchie Emergency Group, LLC Emergency Medicine CurrentSince Mar 20, 2019 Accepting new patients
Leatherwood Emergency Group, LLC Emergency Medicine CurrentSince Mar 25, 2019 Accepting new patients
Houma Emergency Medicine Associates LLC Emergency Medicine Past Accepting new patients
GPN-Leesville, LLC Past Accepting new patients
Michael E Isabelle MD Apmc Emergency Medicine Past Accepting new patients
Acs Primary Care Physicians Louisiana PC Emergency Medicine Past Accepting new patients
Gulfport Emergency Physicians Emergency Medicine Past Accepting new patients
Nes Louisiana Inc Emergency Medicine PastSince Jul 10, 2022 Accepting new patients

Locations

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084

301 W Boundary Ave
Winnfield, LA 71483
Phone (318) 628-2721

Interoperability endpoints

  • Direct secure messaging: ochfreid@yourcarecommunity.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1154355287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 CAMILLE ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713012702",
            "telephone_number": "318-448-8548",
            "fax_number": "318-448-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CAMILLE ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713012702",
            "telephone_number": "318-448-8548",
            "fax_number": "318-448-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "FRED",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "012225",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "07848",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1344257",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.