Active NPI
Wayne Reichman, M.D.
- Vascular Surgery Physician
- Glen Arm, MD
National Provider Identifier
1366404246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- D41749
- Practice address
- 12814 Dulaney Valley Rd
Glen Arm, MD 21057-9761 - Phone
- (410) 459-3433
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | D41749 | MD | Primary |
Addresses
Primary practice location
12814 Dulaney Valley Rd
Glen Arm, MD 21057-9761
Mailing address
12814 Dulaney Valley Rd
Glen Arm, MD 21057-9761
Phone (410) 459-3433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 348481500 | Medicaid | MD |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D41749 | MD | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltimore Ultrasound Services,Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Harford X-Ray Services LLC | Past | Accepting new patients |
Interoperability endpoints
- wayne.reichman.d1.p1@direct.vsadocs.nextgenshare.com
Organizations & group practices 3
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.
-
- Sonography Radiologic Technologist
- Baltimore, MD
- NPI 1598762064
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Diagnostic Radiology Physician
- Bel Air, MD
- NPI 1861997678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1366404246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12814 DULANEY VALLEY RD",
"city": "GLEN ARM",
"state": "MD",
"postal_code": "210579761",
"telephone_number": "410-459-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12814 DULANEY VALLEY RD",
"city": "GLEN ARM",
"state": "MD",
"postal_code": "210579761",
"telephone_number": "410-459-3433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHMAN",
"first_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MD",
"license": "D41749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "348481500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Arm, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.