Galahadd'S Quest LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA10079-NP Issued in OH

Legal business name

GALAHADD'S QUEST LLC

Doing business as

Reichardt Family Practice

Practice address

2440 Baton Rouge
Lima, OH 45805-5104

Phone

(419) 331-2273

Fax

(419) 331-4274

NPI assigned

Apr 19, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Alan Reichardt, CNP

Title

Owner

Phone

(419) 331-2273

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Reichardt Family Practice Doing business as

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1720378128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 BATON ROUGE",
            "address_2": "SUITE 306",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458055104",
            "telephone_number": "419-331-2273",
            "fax_number": "419-331-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 BATON ROUGE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458055104",
            "telephone_number": "419-331-2273",
            "fax_number": "419-331-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAHADD'S QUEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "REICHARDT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-331-2273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA10079-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-OH",
            "identifier": "0B51149",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSE ESN",
            "identifier": "A503JREICHART:80561",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "6268010001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H006310",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0B51149",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reichardt Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlynn Fuson
• Diane Marie Gable, LISW-S
• Eliyazar Gaddam, MD
• Philip Scott Gafford, MD
• Christian F Gaissmaier, MD
• Stephanie Gallagher
• Douglas Gallaspie Jr.
• Eric Gao, DO
• Richard Laverne Garber, ATC
• April Gardner, CNP

• Family Nurse Practitioner in Lima, OH
• Providers in Lima, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.