Active NPI
Gene W Reid MD PA
- Geriatric Psychiatry Physician
- Little Rock, AR
National Provider Identifier
1457510539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- C5579
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C5579 | AR | |
| Geriatric Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111384001 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nurse Practitioner
- Little Rock, AR
- NPI 1851481337
-
- Internal Medicine Physician
- Sedona, AZ
- NPI 1811955990
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.