Robert A Reiswig, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD00013993 Issued in WA

Practice address

981 South Market Blvd
Chehalis, WA 98532-0230

Phone

(360) 748-4991

Fax

(360) 748-7778

NPI assigned

Dec 1, 2006

Sex

Male

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 2

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

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.

• Radiology Associates of Lewis County Inc PC

  • Diagnostic Radiology Physician
  • Chehalis, WA
  • NPI 1689892671
  NPD (past) Authorized official
• Southwest Washington Diagnostics LP

  • Diagnostic Radiology Physician
  • Centralia, WA
  • NPI 1801882915
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1760550545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1201",
            "address_2": "981 SOUTH MARKET BLVD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985320230",
            "telephone_number": "360-748-4991",
            "fax_number": "360-748-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 SOUTH MARKET BLVD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985320230",
            "telephone_number": "360-748-4991",
            "fax_number": "360-748-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISWIG",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00013993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016104",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0076572",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelley Ramsey
• Kari Rashoff
• Megan Raubuch Bunker, M.A., CCC-SLP
• Beverly Ann Reed
• Sheri Lynn Reeves
• Nikolai Reitz
• Renal Care Group Northwest, Inc.
• Renewed Strength Psychiatry Services PLLC
• Claudia Georgina Reyes Corrales, SUDPT
• Richard R Walker DDS PS

• Diagnostic Radiology Physician in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.