Organization Active NPI

Gene W Reid MD PA

  • Geriatric Psychiatry Physician
  • Little Rock, AR
National Provider Identifier
1457510539
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
C5579 Issued in AR
Legal business name
GENE W REID MD PA
Practice address
10201 W Markham St Ste 212
Little Rock, AR 72205-2181
Phone
(501) 227-6916
Fax
(501) 227-8254
NPI assigned
Jun 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Dr. Gene W Reid, MD
Title
Owner
Phone
(501) 227-6916

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X C5579 AR
Geriatric Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0805X C5579 AR Primary

Addresses

Primary practice location

10201 W Markham St Ste 212
Little Rock, AR 72205-2181

Mailing address

10201 W Markham St Ste 212
Little Rock, AR 72205-2181
Phone (501) 227-6916

Other identifiers 1

IdentifierTypeStateIssuer
111384001MedicaidAR

National Provider Directory

National Provider Directory

Locations

10201 W Markham St
Ste 212
Little Rock, AR 72205
Phone (501) 227-6916

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1457510539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 W MARKHAM ST STE 212",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052181",
            "telephone_number": "501-227-6916",
            "fax_number": "501-227-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 W MARKHAM ST STE 212",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052181",
            "telephone_number": "501-227-6916",
            "fax_number": "501-227-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE W REID MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-227-6916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "C5579",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "AR",
            "license": "C5579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111384001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.