Active NPI
Peggy Jo Reep, MD
- Diagnostic Radiology Physician
- Gatlinburg, TN
National Provider Identifier
1629064092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 41949
- Practice address
- 725 Vixen Run
Gatlinburg, TN 37738-6344 - Phone
- (865) 430-3453
- Fax
- (866) 898-2159
- NPI assigned
- Sep 21, 2005
- Last updated
- Feb 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 17306 | OK | |
| Diagnostic Radiology Physician | 2085R0202X | 41949 | TN | Primary |
Addresses
Primary practice location
725 Vixen Run
Gatlinburg, TN 37738-6344
Mailing address
23625 Commerce Park
Suite 204
Beachwood, OH 44122-5845
Phone (216) 255-5700
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200052500A | Medicaid | OK | |
| 502461641001 | Other | OK | BCBS-LAWTON |
| P00225875 | Other | OK | RAILROAD MEDICARE |
| 5623606 | Other | OK | AETNA |
| 1477079 | Medicaid | LA | |
| 8557050 | Medicaid | WA |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Imaging Associates PC | Diagnostic Radiology | Past | Accepting new patients |
| Regional West Physicians Clinic | Past | Accepting new patients | |
| Prairie Imaging, PC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Montana, PC | Diagnostic Radiology | Past | Accepting new patients |
| FSH Radiology Inc | Diagnostic Radiology | Past | Accepting new patients |
| U S Health Dept of Health & Human Services | Past | Accepting new patients | |
| U S Health Dept of Health & Human Services | Past | Accepting new patients | |
| Franklin & Seidelmann Inc | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Plantation, FL
- NPI 1972539245
-
- Diagnostic Radiology Physician
- Beachwood, OH
- NPI 1588869929
-
- Diagnostic Radiology Physician
- Scottsbluff, NE
- NPI 1134173685
-
- Diagnostic Radiology Physician
- Dickinson, ND
- NPI 1366423618
-
- Diagnostic Radiology Physician
- Great Falls, MT
- NPI 1497820559
-
- Family Medicine Physician
- Scottsbluff, NE
- NPI 1306910534
-
dba Heart Butte Clinic
- Clinic/Center
- Heart Butte, MT
- NPI 1598867848
-
- General Acute Care Hospital
- Browning, MT
- NPI 1861409955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1629064092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23625 COMMERCE PARK",
"address_2": "SUITE 204",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225845",
"telephone_number": "216-255-5700",
"fax_number": "866-898-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 VIXEN RUN",
"city": "GATLINBURG",
"state": "TN",
"postal_code": "377386344",
"telephone_number": "865-430-3453",
"fax_number": "866-898-2159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEP",
"first_name": "PEGGY",
"middle_name": "JO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-21",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "17306",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "41949",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200052500A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-LAWTON",
"identifier": "502461641001",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00225875",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5623606",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477079",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8557050",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gatlinburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.