Individual provider Active NPI

Paul Michael Reed, DO

  • Family Medicine Physician
  • Guymon, OK
National Provider Identifier
1770669129
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3382 Issued in OK
Practice address
123 Medical Dr
Guymon, OK 73942-3606
Phone
(580) 338-3361
Fax
(580) 338-1021
NPI assigned
Oct 28, 2006
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 3382 OK Primary

Addresses

Primary practice location

123 Medical Dr
Guymon, OK 73942-3606

Mailing address

123 Medical Dr
Guymon, OK 73942-3606
Phone (580) 338-3361

Other identifiers 1

IdentifierTypeStateIssuer
100195120AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20100928000301 OK Practitioner - Family Practice 4284700949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical CenterGroup PAC ID 7517941651, 62 clinicians

Practice addresses (Care Compare)

123 Medical Dr
Guymon, OK 73942-3606
Phone (580) 338-3361

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.79 of 100Reported as group
Quality
68.45
Promoting interoperability
100
Improvement activities
40
Cost
72.27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Center CurrentSince Sep 1, 2021 Accepting new patients
Southwest Medical Center CurrentSince Sep 1, 2021 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Southwest Medical Center Past Accepting new patients

Locations

315 W 15th St
Liberal, KS 67901
Phone (620) 624-1651

123 Medical Dr
Guymon, OK 73942
Phone (580) 338-3361

421 Medical Dr
Guymon, OK 73942
Phone (580) 338-3135

Organizations & group practices 4

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

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": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1770669129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MEDICAL DR",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739423606",
            "telephone_number": "580-338-3361",
            "fax_number": "580-338-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MEDICAL DR",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739423606",
            "telephone_number": "580-338-3361",
            "fax_number": "580-338-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100195120A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guymon, OK

Sources for this page

Verify at the official NPI Registry.