Mary E Reif, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD00017665 Issued in WA

Practice address

550 17TH Ave Ste 400
Seattle, WA 98122-5789

Phone

(206) 320-3494

Fax

(206) 386-2845

NPI assigned

Jul 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mreif1043042@wm.providencedirect.org

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.

• Summit Neurology, P.S.

  • Neurology Physician
  • Seattle, WA
  • NPI 1902023187
  NPD (past) Authorized official
• Spencer Vascular Diagnostic

  • Vascular Specialist/Technologist Cardiovascular
  • Seattle, WA
  • NPI 1447498274
  NPD (past)
• Spencer Vascular Diagnostic Services Inc

  • Vascular Specialist/Technologist Cardiovascular
  • Seattle, WA
  • NPI 1457301186
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1730188756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 17TH AVE STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225789",
            "telephone_number": "206-320-3494",
            "fax_number": "206-386-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIF",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD00017665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "80169",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1076157",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730188756",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mreif1043042@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "550 17th Ave Ste 400",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981225789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sara Verlin Reid, DPT
• Tara Brinck Reid, MD/PHD
• Amy Reidy, OT
• Stephanie Reierson
• Justin Warren Reif, MD
• Austin Edward Reifel, MD
• Alexandra Marie Reifenberg
• Derek Reiff, PHARMD
• Sarah Todd Reiger, MD
• Sheridan F Reiger, M.D.

• Neurology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Neurology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.