Organization Active NPI

Jeff Reid DO PLLC

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1518538339
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
JEFF REID DO PLLC
Practice address
14000 N Portland Ave Ste 100
Oklahoma City, OK 73134-4004
Phone
(405) 936-8100
NPI assigned
Jul 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Jeri Yates
Title
Practice Manager
Phone
(580) 272-0485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

14000 N Portland Ave Ste 100
Oklahoma City, OK 73134-4004

Mailing address

17413 Hawks View CT
Edmond, OK 73012-0605

Other practice location 1

4317 W Memorial Rd
Oklahoma City, OK 73134-1720
Phone (405) 755-6420

Other practice location 2

9913 S May Ave Ste A
Oklahoma City, OK 73159-7020
Phone (405) 631-1527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210727003854 OK Part B Supplier - Clinic/Group Practice 3577966688 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK; Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

9913 S May Ave
Ste A
Oklahoma City, OK 73159
Phone (405) 631-1527

Practitioners & affiliated clinicians

Practitioners 1

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": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1518538339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17413 HAWKS VIEW CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730120605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 N PORTLAND AVE STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731344004",
            "telephone_number": "405-936-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4317 W Memorial Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731341720",
            "country_code": "US",
            "telephone_number": "405-755-6420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9913 S May Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731597020",
            "country_code": "US",
            "telephone_number": "405-631-1527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFF REID DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "JERI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "580-272-0485"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.