Jean R Reindl, CRNA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

73815 Issued in WI

Practice address

2300 Western Ave
Manitowoc, WI 54220-3712

Phone

(920) 320-2249

Fax

(920) 320-3529

NPI assigned

Aug 16, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Lakeshore Radiology Associates SC

  • Diagnostic Radiology Physician
  • Manitowoc, WI
  • NPI 1346265915
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1568575645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2290",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542212290",
            "telephone_number": "920-320-2249",
            "fax_number": "920-320-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WESTERN AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542203712",
            "telephone_number": "920-320-2249",
            "fax_number": "920-320-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINDL",
        "first_name": "JEAN",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "73815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00183964",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Lynn Recore, OTR
• Dawn Marie Redwine, P.T.
• Matthew Reed, RN
• Rose Reed
• Thomas Joseph Rehrauer, D.D.S.
• Reineking Chiropractic LLC
• Doreen M. Reineking, MT
• Heather Nicole Reinemann, OTR
• Cheryl Naomi Reinke, C.O.T.A
• Morgan Lee Reklaitis, OTR

• Anesthesiology Physician in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Anesthesiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.