Individual provider Active NPI

Reynaldo Puesan, M.D.

  • Psychiatry Physician
  • North Warren, PA
National Provider Identifier
1376572586
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD040596E Issued in PA
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

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
260015303OtherRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614000771 PA Practitioner - Psychiatry 9335183052 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Elk Regional Health Center CurrentSince Mar 16, 2019 Accepting new patients
Tower Health Medical Group Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Mar 23, 2016 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Tower Health Medical Group CurrentSince Feb 11, 2019 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Mar 23, 2016 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Psychiatry CurrentSince Apr 11, 2022 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Apr 11, 2022 Accepting new patients
Tower Health Medical Group CurrentSince Feb 11, 2019 Accepting new patients
Elk Regional Health Center Psychiatry CurrentSince Mar 16, 2019 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.

View all 13

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

Verify at the official NPI Registry.