Individual provider Active NPI

Julie A Reeves, MD

  • Family Medicine Physician
  • Medina, OH
National Provider Identifier
1205851318
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35076576R Issued in OH
Practice address
3637 Medina Rd
Suite 70
Medina, OH 44256-9654
Phone
(330) 764-7378
Fax
(330) 723-8357
NPI assigned
Jul 12, 2006
Last updated
May 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35076576R OH Primary

Addresses

Primary practice location

3637 Medina Rd
Suite 70
Medina, OH 44256-9654

Mailing address

3637 Medina Rd
Suite 70
Medina, OH 44256-9654
Phone (330) 764-7378

Other identifiers 1

IdentifierTypeStateIssuer
2169835MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100202000502 OH Practitioner - Family Practice 7113924242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3637 Medina Rd
Suite 220
Medina, OH 44256-8154
Phone (330) 764-7378

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35076576ROHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Reeves MD, Inc Family Medicine CurrentSince Sep 1, 2002 Accepting new patients

Locations

3637 Medina Rd
Ste 70
Medina, OH 44256
Phone (330) 376-1902

3637 Medina Rd
Ste 220
Medina, OH 44256
Phone (330) 723-5790

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1205851318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 MEDINA RD",
            "address_2": "SUITE 70",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569654",
            "telephone_number": "330-764-7378",
            "fax_number": "330-723-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 MEDINA RD",
            "address_2": "SUITE 70",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569654",
            "telephone_number": "330-764-7378",
            "fax_number": "330-723-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35076576R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2169835",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.