Active NPI
Matthew T Reid, DO
- Family Medicine Physician
- Key West, FL
National Provider Identifier
1629044409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS9716
- Practice address
- 101 Key Haven Rd
Key West, FL 33040-6221 - Phone
- (305) 890-6425
- NPI assigned
- Feb 23, 2006
- Reactivated
- Dec 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS9716 | FL | Primary |
Addresses
Primary practice location
101 Key Haven Rd
Key West, FL 33040-6221
Mailing address
101 Key Haven Rd
Key West, FL 33040-6221
Phone (305) 890-6425
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS9716 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1629044409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 KEY HAVEN RD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330406221",
"telephone_number": "305-890-6425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 KEY HAVEN RD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330406221",
"telephone_number": "305-890-6425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "MATTHEW",
"middle_name": "T",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2013-12-11",
"deactivation_date": "2012-11-14",
"reactivation_date": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS9716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.