Peter W Reed MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L4836 Issued in TX

Legal business name

PETER W REED MD PA

Practice address

1339 East St
Graham, TX 76450-4228

Phone

(940) 521-5500

Fax

(940) 521-5511

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Peter W Reed, MD PA

Title

Owner

Phone

(940) 521-5500

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1609985480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 EAST ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504228",
            "telephone_number": "940-521-5500",
            "fax_number": "940-521-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 EAST ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504228",
            "telephone_number": "940-521-5500",
            "fax_number": "940-521-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER W REED MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-521-5500",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC5266",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166842801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0040PY",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nexion Health at Graham Inc.
• Donald E Oldfield, MED, LMFT
• Joe W Peeks, D.C.
• Tisha Pemberton
• Peter S Brown MD PA
• Leslee Pruitt, RN
• Samantha Purdy, CPNP-PC
• Navjot Kaur Randhawa, DMD
• Ray and Ray Counseling Services
• Andra Leigh Ray, ARNP, PMHNP-BC, LPC

• Family Medicine Physician in Graham, TX
• Providers in Graham, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.