NPIMap

Organization Active NPI

Reid Physician Associates Inc

Doing business as Reid Health X-Ray - Cambridge City

  • Radiology Clinic/Center
  • Cambridge City, IN
National Provider Identifier
1689286973
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
REID PHYSICIAN ASSOCIATES INC
Doing business as
Reid Health X-Ray - Cambridge City
Practice address
1154 S State Road 1 Ste 2
Cambridge City, IN 47327-9513
Phone
(765) 478-4503
Fax
(765) 478-4504
NPI assigned
Aug 19, 2020
Last updated
Aug 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Misty Nash, CPCS
Title
Director
Phone
(765) 983-3127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1154 S State Road 1 Ste 2
Cambridge City, IN 47327-9513

Mailing address

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 478-4503

Other names 1

  • Reid Health X-Ray - Cambridge City Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201103000353 IN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6406910769 Practice locations: Cambridge City, IN

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Reid Physician Assoc Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1154 S State Road 1
Ste 2
Cambridge City, IN 47327
Phone (765) 478-4503

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Reid Primary & Specialty Care - Cambridge CityCambridge City, IN, CCN 153896 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 28, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1689286973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-478-4503",
            "fax_number": "765-478-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 S STATE ROAD 1 STE 2",
            "city": "CAMBRIDGE CITY",
            "state": "IN",
            "postal_code": "473279513",
            "telephone_number": "765-478-4503",
            "fax_number": "765-478-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID PHYSICIAN ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "765-983-3127",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reid Health X-Ray - Cambridge City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge City, IN

Sources for this page

Verify at the official NPI Registry.