Active NPI
Lawrence M Reid, MD
- Anesthesiology Physician
- Troy, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD425989
- Practice address
- 275 Guthrie Dr
Troy, PA 16947-8115 - Phone
- (877) 204-4155
- Fax
- (877) 213-5232
- NPI assigned
- Aug 3, 2006
- Last updated
- Apr 28, 2022
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD425989 | PA | Primary |
Addresses
Primary practice location
275 Guthrie Dr
Troy, PA 16947-8115
Mailing address
PO Box 212110
Royal Palm Beach, FL 33421-2110
Phone (561) 204-5230
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012390590001 | Medicaid | PA | |
| 049744400 | Medicaid | FL | |
| 1013081650 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kris@gulfstreamanesthesia.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD425989 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulfstream Anesthesia Consultants PA | Anesthesiology | Current | Accepting new patients |
| Gulfstream Anesthesia Consultants | Anesthesiology | Past | Accepting new patients |
Locations
1355 37th St
Ste 304
Vero Beach, FL 32960
Phone (772) 213-3600
701 E 16th St
Berwick, PA 18603
Phone (570) 754-5000
24 Cree Dr
Lock Haven, PA 17745
Phone (570) 893-5000
275 Guthrie Dr
Troy, PA 16947
Phone (570) 297-2121
Interoperability endpoints
- kris@gulfstreamanesthesia.com
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Troy, PA
- NPI 1992713242
-
- Anesthesiology Physician
- Lock Haven, PA
- NPI 1568685972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1649288937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 212110",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334212110",
"telephone_number": "561-204-5230",
"fax_number": "561-204-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 GUTHRIE DR",
"city": "TROY",
"state": "PA",
"postal_code": "169478115",
"telephone_number": "877-204-4155",
"fax_number": "877-213-5232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "LAWRENCE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD425989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012390590001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049744400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013081650",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kris@gulfstreamanesthesia.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "275 Guthrie Dr",
"city": "Troy",
"state": "PA",
"country_code": "US",
"postal_code": "169478115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Troy, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.