Active NPI
Jordan Kory Reed, M.D.
- Surgery Physician
- San Antonio, TX
National Provider Identifier
1639379365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G9518
- Practice address
- 24935 Toutant Beauregard Rd
San Antonio, TX 78255-3401 - Phone
- (830) 981-9443
- Fax
- (830) 981-9443
- NPI assigned
- Jul 20, 2007
- Last updated
- Jul 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G9518 | TX | Primary |
Addresses
Primary practice location
24935 Toutant Beauregard Rd
San Antonio, TX 78255-3401
Mailing address
24935 Toutant Beauregard Rd
San Antonio, TX 78255-3401
Phone (830) 981-9443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G9518 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1639379365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24935 TOUTANT BEAUREGARD RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782553401",
"telephone_number": "830-981-9443",
"fax_number": "830-981-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24935 TOUTANT BEAUREGARD RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782553401",
"telephone_number": "830-981-9443",
"fax_number": "830-981-9443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "JORDAN",
"middle_name": "KORY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-20",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "G9518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.