Randall E Reese, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME74566 Issued in FL

Practice address

1368 Country Club Rd
Gulf Breeze, FL 32563-3471

Phone

(850) 934-9876

Fax

(850) 916-0736

NPI assigned

Oct 24, 2006

Last updated

Sep 12, 2011By 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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drreese@pensacolapeds.opdirect.net

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.

• Pensacola Pediatrics PA

  • Pediatrics Physician
  • Gulf Breeze, FL
  • NPI 1013680651
  NPD (past)
• Pensacola Pediatrics PA

  • Pediatrics Physician
  • Pensacola, FL
  • NPI 1144302324
  NPD (past)
• Pensacola Pediatrics PA

  • Pediatrics Physician
  • Pace, FL
  • NPI 1225701550
  NPD (past)
• Pensacola Pediatrics PA

  • Pediatrics Physician
  • Navarre, FL
  • NPI 1467178343
  NPD (past)
• Pensacola Pediatrics, PA

  • Pediatrics Physician
  • Pensacola, FL
  • NPI 1255004586
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1285718676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048965",
            "telephone_number": "850-473-0100",
            "fax_number": "850-473-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 COUNTRY CLUB RD",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633471",
            "telephone_number": "850-934-9876",
            "fax_number": "850-916-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "RANDALL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME74566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256964700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hani A Razek, MD
• Rebecca Prather Brooks, PHD, LLC
• Kari Reed, LMHC
• Kelly L Reed, DO
• Rachel G Reed, MA, CCC-SLP
• Cynthia R Reeves, ARNP
• Regenerative Medicine and Pain Management Physicians PLLC
• Rehab Care Group East, LLC
• Rehabcare Group East, LLC
• Rehabcare Group East, LLC

• Pediatrics Physician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.