Active NPI
Michael Steven Reid, PA
- Physician Assistant
- Rowlett, TX
National Provider Identifier
1346315736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01839
- Practice address
- 6800 Scenic Dr
Rowlett, TX 75088-4552 - Phone
- (972) 412-3387
- Fax
- (214) 712-2487
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01839 | TX | Primary |
Addresses
Primary practice location
6800 Scenic Dr
Rowlett, TX 75088-4552
Mailing address
1717 Main St
Suite 5200
Dallas, TX 75201-4612
Phone (214) 712-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA01839 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346315736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 MAIN ST",
"address_2": "SUITE 5200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752014612",
"telephone_number": "214-712-2000",
"fax_number": "214-712-2487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 SCENIC DR",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750884552",
"telephone_number": "972-412-3387",
"fax_number": "214-712-2487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "MICHAEL",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA01839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rowlett, TX
Sources for this page
- 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.