Michael James Reeves, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP30004395 Issued in WA

Practice address

800 Alder Street
South Bend, WA 98586

Phone

(360) 875-5526

Fax

(360) 875-6167

NPI assigned

Jul 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pacific County Hospital District 2

  dba Willapa Harbor Hospital

  • Critical Access Hospital
  • South Bend, WA
  • NPI 1295708683
  NPD (past)
• Pacific County Hospital District 2

  dba Willapa Medical Clinic

  • Rural Health Clinic/Center
  • South Bend, WA
  • NPI 1760582522
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235163908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ALDER STREET PO BOX 438",
            "city": "SOUTH BEND",
            "state": "WA",
            "postal_code": "98586",
            "telephone_number": "360-875-5526",
            "fax_number": "360-875-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ALDER STREET",
            "city": "SOUTH BEND",
            "state": "WA",
            "postal_code": "98586",
            "telephone_number": "360-875-5526",
            "fax_number": "360-875-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30004395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9619065",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific County Hospital District 2 (Willapa Medical Clinic)
• Pacific County Hospital District 2
• Pacific County Public Hospital District # 2
• Stan W Pniewski, MD
• Aliza Quinlan, B.A.
• Rehabvisions Therapy Wa, LLC (RehabVisions)
• Charles Alec Reidinger, CRNA
• Ruby Behavior Consulting, LLC
• Ruby Behavioral Consulting, LLC (Rural Behavioral Connections)
• Danielle Russell, PTA

• Certified Registered Nurse Anesthetist in South Bend, WA
• Providers in South Bend, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.