Active NPI
Reynaldo Puesan, M.D.
- Psychiatry Physician
- North Warren, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD040596E
- Practice address
- 33 Main Dr
North Warren, PA 16365-5001 - Phone
- (814) 726-4317
- Fax
- (814) 726-4447
- NPI assigned
- Jul 1, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD040596E | PA | Primary |
Addresses
Primary practice location
33 Main Dr
North Warren, PA 16365-5001
Mailing address
319 N State St
North Warren, PA 16365-4867
Phone (814) 723-8090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260015303 | Other | RAILROAD MEDICARE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| Elk Regional Health Center | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Psychiatry | Current | Accepting new patients |
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Elk Regional Health Center | Psychiatry | Current | Accepting new patients |
| Warren County Commissioners | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
275 E 4th St
Emporium, PA 15834
Phone (814) 486-6123
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
111 Cobb St
Johnsonburg, PA 15845
Phone (814) 965-2857
1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000
420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
Organizations & group practices 13
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.
-
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
-
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1205242609
-
- Rural Health Clinic/Center
- New Paris, PA
- NPI 1265848600
-
- Long Term Care Pharmacy
- Saint Marys, PA
- NPI 1790570067
-
- Body Imaging Physician
- Hershey, PA
- NPI 1346215928
-
- Psychiatry Physician
- Hershey, PA
- NPI 1932174323
-
- Neurology Physician
- West Reading, PA
- NPI 1184175804
-
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
-
- Case Management Agency
- Warren, PA
- NPI 1396780730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1376572586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 N STATE ST",
"city": "NORTH WARREN",
"state": "PA",
"postal_code": "163654867",
"telephone_number": "814-723-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 MAIN DR",
"city": "NORTH WARREN",
"state": "PA",
"postal_code": "163655001",
"telephone_number": "814-726-4317",
"fax_number": "814-726-4447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUESAN",
"first_name": "REYNALDO",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD040596E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE #",
"identifier": "260015303",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Warren, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.