Robin Russell Reye, SAPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601001893 Issued in MI

Practice address

4228 Mt. Morris Rd
Columbiaville, MI 48421

Phone

(810) 793-2241

Fax

(810) 793-2587

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Robin Russell Reye Professional name

Medicare fee-for-service enrollment

Enrolled in MI, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rreye613067@direct.hfhs.org

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.

• Hurley Medical Center

  • Physician Assistant
  • Flint, MI
  • NPI 1881620748
  Medicare reassignment NPD
• Elizabeth Lake Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Waterford, MI
  • NPI 1538585260
  Medicare reassignment
• Flushing Urgent Care PLC

  • Urgent Care Clinic/Center
  • Flushing, MI
  • NPI 1780930016
  Medicare reassignment
• Holly Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Holly, MI
  • NPI 1831722719
  Medicare reassignment
• Royal Urgent Care, PLLC

  • Internal Medicine Physician
  • Royal Oak, MI
  • NPI 1952833196
  Medicare reassignment
• Rosebud Indian Health Service

  • General Acute Care Hospital
  • Rosebud, SD
  • NPI 1194757369

  TX

  Medicare reassignment
• Hurley Medical Center

  • Plastic and Reconstructive Surgery Physician
  • Flint, MI
  • NPI 1689345761
  NPD
• Rosebud Indian Health Service

  • Ambulatory Surgical Clinic/Center
  • Rosebud, SD
  • NPI 1790955128
  NPD
• Bayside Family Medicine Chesterfield PC

  • Family Medicine Physician
  • Chesterfield, MI
  • NPI 1790018315
  NPD (past)
• First Choice Urgent Care PC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1629201264
  NPD (past)
• Quality Care Physicians Group

  • Emergency Medicine Physician
  • Waterford, MI
  • NPI 1114974912

  Medical

  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1427092410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 MOUNT MORRIS RD",
            "city": "COLUMBIAVILLE",
            "state": "MI",
            "postal_code": "484219373",
            "telephone_number": "810-793-2241",
            "fax_number": "810-793-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 MT. MORRIS RD",
            "city": "COLUMBIAVILLE",
            "state": "MI",
            "postal_code": "48421",
            "telephone_number": "810-793-2241",
            "fax_number": "810-793-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYE",
        "first_name": "ROBIN",
        "middle_name": "RUSSELL",
        "name_prefix": "Mr.",
        "credential": "SAPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601001893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "RR001893",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "REYE",
            "middle_name": "RUSSELL",
            "prefix": "MR.",
            "credential": "SAPA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Medical Physician Assistant in Columbiaville, MI
• Providers in Columbiaville, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.

Verify at the official NPI Registry.