Eric Vincent Reinertson, M. D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036-097075 Issued in IL

Practice address

2401 Broadway St
Pekin, IL 61554-3905

Phone

(309) 478-1700

Fax

(309) 478-1701

NPI assigned

Nov 9, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• The Women'S and Family Center for Health, PLLC

  • Family Nurse Practitioner
  • Pekin, IL
  • NPI 1538239983

  Obstetrics & Gynecology

  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1497825863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BROADWAY ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543905",
            "telephone_number": "309-478-1700",
            "fax_number": "309-478-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BROADWAY ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543905",
            "telephone_number": "309-478-1700",
            "fax_number": "309-478-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINERTSON",
        "first_name": "ERIC",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-097075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9032006",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097075",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reditus Laboratories
• Molly Elizabeth Reed, M.S.W.
• Justin Reeg
• Sonia Lynne Reeves, APN
• Tracey J Reimer, P. T.
• Susan Rettig, CRNA
• Revive Wellness LLC
• Dustin Rewinkel
• Jeannie Ann Reynolds
• RHC Investments, LLC - Pekin Operations Series

• Obstetrics & Gynecology Physician in Pekin, IL
• Providers in Pekin, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.