Individual provider Active NPI

Lawrence M Reid, MD

  • Anesthesiology Physician
  • Troy, PA
National Provider Identifier
1649288937
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD425989 Issued in PA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1012390590001MedicaidPA
049744400MedicaidFL
1013081650MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050602000019 PA Practitioner - Anesthesiology 9931175718 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD425989PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfstream Anesthesia Consultants PA Anesthesiology CurrentSince Sep 27, 2002 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.