Bob Harry Reid

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

45238D48 Issued in PA

Practice address

48 Lakeside TRL
Fairfield, PA 17320-8222

Phone

(717) 933-1451

NPI assigned

Jul 1, 2019

Last updated

Jul 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1639731516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531",
            "city": "FAIRFIELD",
            "state": "PA",
            "postal_code": "173200531",
            "telephone_number": "717-933-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 LAKESIDE TRL",
            "city": "FAIRFIELD",
            "state": "PA",
            "postal_code": "173208222",
            "telephone_number": "717-933-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "BOB",
        "middle_name": "HARRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "PA",
            "license": "45238D48",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Kern, LPC
• Joanne Barbara Knowlton, R.N.
• Rose T. Maturo, M.S., L.P.C.
• Danielle Mikesell-Redding, LPC
• David Sadler Moore, MD
• Brenda Riley-Gipe, P.T.,CST
• Elizabeth Sarah Shank, CRNP
• Jacqueline A Shriner, RPH
• Dianne Carol Steimling, RPH
• John David Straw III, HEARING AID DISPENSE

• Allergy & Immunology (Internal Medicine) Physician in Fairfield, PA
• Providers in Fairfield, PA by specialty
• Allergy & Immunology (Internal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.