Graham M Reid MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C-5446 Issued in AR

Legal business name

GRAHAM M REID MD PA

Practice address

10816 Executive Center Dr
#101
Little Rock, AR 72211-4354

Phone

(501) 221-3331

Fax

(501) 221-3339

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Graham Mack Reid, MD

Title

Owner

Phone

(501) 221-3331

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1497863674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10816 EXECUTIVE CENTER DRIVE",
            "address_2": "SUITE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114381",
            "telephone_number": "501-221-3331",
            "fax_number": "501-221-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10816 EXECUTIVE CENTER DR",
            "address_2": "#101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114354",
            "telephone_number": "501-221-3331",
            "fax_number": "501-221-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM M REID MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "GRAHAM",
        "authorized_official_middle_name": "MACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-221-3331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "C-5446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157282002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.