Individual provider Active NPI

Marcus Wayne Reed, PA-C

  • Medical Physician Assistant
  • Dallas, TX
National Provider Identifier
1801810957
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA02941 Issued in TX
Practice address
7441 Marvin D Love Fwy Ste 300
Dallas, TX 75237-3770
Phone
(972) 572-1998
Fax
(972) 572-4842
NPI assigned
Jul 26, 2006
Last updated
Jun 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA02941 TX Primary

Addresses

Primary practice location

7441 Marvin D Love Fwy Ste 300
Dallas, TX 75237-3770

Mailing address

2631 Wells CT
Cedar Hill, TX 75104-6943
Phone (972) 293-6675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220106001092 TX Order and Referring Only - Geriatric MedicinePractitioner - Geriatric Medicine 1052320629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Indelible Health & Wellness LLC Past Accepting new patients
Harold Wagner DO PA Past Accepting new patients
Medcare House Calls LLC Past Accepting new patients
Lifevantage House Calls PLLC Past Accepting new patients
At Home Visiting Physicians, Inc. Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1801810957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 WELLS CT",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751046943",
            "telephone_number": "972-293-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7441 MARVIN D LOVE FWY STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373770",
            "telephone_number": "972-572-1998",
            "fax_number": "972-572-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "MARCUS",
        "middle_name": "WAYNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.