Individual provider Active NPI

Jeff Scott Reid, D.O.

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1780718981
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4551 Issued in OK
Practice address
14000 N Portland Ave Ste 100
Oklahoma City, OK 73134-4004
Phone
(405) 936-8100
Fax
(580) 332-5750
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4551 OK Primary

Addresses

Primary practice location

14000 N Portland Ave Ste 100
Oklahoma City, OK 73134-4004

Mailing address

17413 Hawks View CT
Edmond, OK 73012-0605
Phone (580) 272-0485

Other practice location 1

17413 Hawks View Ct
Edmond, OK 73012-0605
Phone (580) 272-0485

Other practice location 2

9913 S May Ave Ste A
Oklahoma City, OK 73159-7020
Phone (405) 631-1527

Other practice location 3

750 NE 13th St
Suite 200
Oklahoma City, OK 73104
Phone (405) 271-4351

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
I20100809001023 OK Practitioner - Anesthesiology 6406989680 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4551OKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeff Reid DO PLLC Anesthesiology CurrentSince Jul 21, 2021 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

14000 N Portland Ave
Ste 100
Oklahoma City, OK 73134
Phone (405) 936-8100

4317 W Memorial Rd
Oklahoma City, OK 73134
Phone (405) 755-6240

9913 S May Ave
Ste A
Oklahoma City, OK 73159
Phone (405) 631-1527

9913 S May Ave
Oklahoma City, OK 73159
Phone (405) 630-5325

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1780718981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17413 HAWKS VIEW CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730120605",
            "telephone_number": "580-272-0485",
            "fax_number": "580-332-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 N PORTLAND AVE STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731344004",
            "telephone_number": "405-936-8100",
            "fax_number": "580-332-5750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17413 Hawks View Ct",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730120605",
            "country_code": "US",
            "telephone_number": "580-272-0485",
            "fax_number": "580-332-5750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9913 S May Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731597020",
            "country_code": "US",
            "telephone_number": "405-631-1527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 NE 13th St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "73104",
            "country_code": "US",
            "telephone_number": "405-271-4351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "JEFF",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "4551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.