Individual provider Active NPI

Timmothy Christian Reece, M.D.

  • Family Medicine Physician
  • White Hall, AR
National Provider Identifier
1679794762
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-5415 Issued in AR
Practice address
1600 W Holland Ave
Suite 202
White Hall, AR 71602-9636
Phone
(870) 850-8055
Fax
(870) 850-8056
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-5415 AR Primary

Addresses

Primary practice location

1600 W Holland Ave
Suite 202
White Hall, AR 71602-9636

Mailing address

1600 W Holland Ave
Suite 202
White Hall, AR 71602-9241
Phone (870) 850-8055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20080530000691 AR Practitioner - Family Practice 6002986254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine of White Hall, P.a.Group PAC ID 4385799691, 6 clinicians

Practice addresses (Care Compare)

7245 Sheridan Rd
White Hall, AR 71602-3214
Phone (870) 850-8055

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions34
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-5415ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine of White Hall, P.a. Family Medicine CurrentSince Feb 19, 2009 Accepting new patients

Locations

2302 W 28th Ave
Ste A
Pine Bluff, AR 71603
Phone (870) 536-1400

7245 Sheridan Rd
White Hall, AR 71602
Phone (870) 580-8055

1600 W Holland Ave
Ste 202
White Hall, AR 71602
Phone (870) 850-8055

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71308

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1679794762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W HOLLAND AVE",
            "address_2": "SUITE 202",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716029241",
            "telephone_number": "870-850-8055",
            "fax_number": "870-850-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W HOLLAND AVE",
            "address_2": "SUITE 202",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716029636",
            "telephone_number": "870-850-8055",
            "fax_number": "870-850-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REECE",
        "first_name": "TIMMOTHY",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-5415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Hall, AR

Sources for this page

Verify at the official NPI Registry.