Organization Active NPI

Reeder Medical Group LLC

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1164798245
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0007163 Issued in FL
Legal business name
REEDER MEDICAL GROUP LLC
Practice address
1400 S Andrews Ave
Fort Lauderdale, FL 33316-1840
Phone
(954) 764-8911
Fax
(954) 764-2150
NPI assigned
Mar 22, 2012
Last updated
Jul 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Dr. Robert Love Reeder, M.D.NPI 1245252469
Title
Medical Director
Phone
(954) 240-4320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0007163 FL Primary

Addresses

Primary practice location

1400 S Andrews Ave
Fort Lauderdale, FL 33316-1840

Mailing address

1400 S Andrews Ave
Fort Lauderdale, FL 33316-1840
Phone (954) 764-8911

National Provider Directory

National Provider Directory

Locations

1850 NE 26th St
Wilton Manors, FL 33305
Phone (954) 288-4481

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1164798245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161840",
            "telephone_number": "954-764-8911",
            "fax_number": "954-764-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161840",
            "telephone_number": "954-764-8911",
            "fax_number": "954-764-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDER MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LOVE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-240-4320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0007163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.