Tara Lyn Reimer, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

231912 Issued in NY

Practice address

24 Carrow St
Orchard Park, NY 14127-2604

Phone

(716) 662-3443

Fax

(716) 972-0374

NPI assigned

Jun 28, 2006

Sex

Female

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 4

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carrow Street Pediatrics, PLLC

  • Pediatric Adolescent Medicine Physician
  • Orchard Park, NY
  • NPI 1902098494

  Adolescent Medicine

  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1295763670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CARROW ST",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272604",
            "telephone_number": "716-662-3443",
            "fax_number": "716-972-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CARROW ST",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272604",
            "telephone_number": "716-662-3443",
            "fax_number": "716-972-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMER",
        "first_name": "TARA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "231912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD (HEALTH NOW)",
            "identifier": "000527699001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH ASSOCIATION",
            "identifier": "1212532",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00026878601",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02563968",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittny Rehrauer, OTR/L
• Barbara Reiche
• Gillian Paige Grobe Reichmuth, PA
• Brendon Reilly, M.D.
• Eileen B Reilly, MD
• Stephen Reinhart, PA
• John Michael Reiser, M.D.
• Carl Remmes
• Casey Renaud, FNP-BC
• James Paul Rew, PA

• All providers in Orchard Park, NY
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.