Individual provider Active NPI

Elwood Paul Reid, M. D.

  • Obstetrics & Gynecology Physician
  • Valrico, FL
National Provider Identifier
1528036092
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101237440 Issued in VA
Practice address
3911 Lithia Ridge Blvd
Valrico, FL 33596-6401
Phone
(813) 661-6863
Fax
(813) 684-2984
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X F1211 TX
Obstetrics & Gynecology Physician 207V00000X A49781 CA
Obstetrics & Gynecology Physician 207V00000X 0098-01458 NC
Obstetrics & Gynecology Physician 207V00000X 32906 IA
Obstetrics & Gynecology Physician 207V00000X 0101237440 VA Primary

Addresses

Primary practice location

3911 Lithia Ridge Blvd
Valrico, FL 33596-6401

Mailing address

3911 Lithia Ridge Blvd
Valrico, FL 33596-6401
Phone (813) 661-6863

Other identifiers 1

IdentifierTypeStateIssuer
1528036092MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A49781CAMDObstetrics & Gynecology Physician
32906IAMDObstetrics & Gynecology Physician
0098-01458NCMDObstetrics & Gynecology Physician
F1211TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E Paul Reid MD PC Obstetrics & Gynecology PastSince Jan 2, 2004 Accepting new patients
Templeton Inpatient Physicians PC PastSince Jan 1, 2008 Accepting new patients
Central California Intensivist Services PC PastSince Jun 5, 2008 Accepting new patients
Fairfield on-Call Specialists PC Obstetrics & Gynecology PastSince Oct 2, 2008 Accepting new patients
Elwood Paul Reid MD Inc PastSince Aug 7, 2008 Accepting new patients
California Physician Consultants, PC PastSince Apr 1, 2010 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1528036092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 LITHIA RIDGE BLVD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966401",
            "telephone_number": "813-661-6863",
            "fax_number": "813-684-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 LITHIA RIDGE BLVD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966401",
            "telephone_number": "813-661-6863",
            "fax_number": "813-684-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "ELWOOD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "F1211",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A49781",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "0098-01458",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "32906",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101237440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528036092",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.