Organization Active NPI

Martha a. Reed M.D., Inc.

  • Internal Medicine Physician
  • Hillsboro, MO
National Provider Identifier
1225359813
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R6891 Issued in MO
Legal business name
MARTHA A. REED M.D., INC.
Practice address
11318 Highway 21
Hillsboro, MO 63050-5207
Phone
(636) 586-6820
Fax
(636) 586-6821
NPI assigned
Jun 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Authorized official

Name
Dr. Martha Ann Reed, M.D.
Title
M.D.
Phone
(636) 586-6820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X R6891 MO Primary

Addresses

Primary practice location

11318 Highway 21
Hillsboro, MO 63050-5207

Mailing address

11318 Highway 21
Hillsboro, MO 63050-5207
Phone (636) 586-6820

Other identifiers 1

IdentifierTypeStateIssuer
200006906MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1225359813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11318 HIGHWAY 21",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630505207",
            "telephone_number": "636-586-6820",
            "fax_number": "636-586-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11318 HIGHWAY 21",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630505207",
            "telephone_number": "636-586-6820",
            "fax_number": "636-586-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA A. REED M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "636-586-6820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R6891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006906",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.