Reid Physician Associates, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REID PHYSICIAN ASSOCIATES, INC.

Doing business as

Family & Occupational Medicine of Lynn & Ridgeville

Practice address

428 S Main St
Box 5
Lynn, IN 47355-9089

Phone

(765) 874-2390

Fax

(765) 874-1721

NPI assigned

Mar 7, 2007

Reactivated

Sep 22, 2015

Last updated

Sep 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig Kinyon

Title

President / Ceo

Phone

(765) 983-3127

Specialties & licenses 1

Addresses

Other names 1

• Family & Occupational Medicine of Lynn & Ridgeville Doing business as

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1346370392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-874-2390",
            "fax_number": "765-874-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S MAIN ST",
            "address_2": "BOX 5",
            "city": "LYNN",
            "state": "IN",
            "postal_code": "473559089",
            "telephone_number": "765-874-2390",
            "fax_number": "765-874-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID PHYSICIAN ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2015-09-22",
        "deactivation_date": "2015-07-22",
        "reactivation_date": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "KINYON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "765-983-3127"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family & Occupational Medicine of Lynn & Ridgeville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Kouns
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• Joanne Mary Poole, PT
• Randolph Southern School Corporation
• St Vincent Randolph Hospital (Family and Occupational Medicine of Lynn)
• St. Vincent Physician Network, LLC
• St. Vincent Physician Network, LLC
• Alan Leo White, D.D.S.

• Family Medicine Physician in Lynn, IN
• Providers in Lynn, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.