Mark A Reed, MD

Key facts

NPI

1831185347

Entity type

Individual (NPI type 1)

Primary specialty

Anesthesiology Physician 207L00000X

License

E3497 (AR)

Practice address

963 SE Camano Dr
Camano Island, WA 98282-8489

Phone

(206) 419-7297

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

No

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.

• Little Rock Outpatient Surgery Center, LLC Ambulatory Surgical Clinic/Center · Little Rock, AR · NPI 1548256365
  NPD (past)
• Little Rock Outpatient Surgery Center, LLC Ambulatory Surgical Clinic/Center · Little Rock, AR · NPI 1861488587
  NPD (past)
• Ouachita Regional Anesthesia PLLC Anesthesiology Physician · Hot Springs, AR · NPI 1982699153
  NPD (past) ANESTHESIOLOGY

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 27, 2020.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1831185347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 SE CAMANO DR",
            "city": "CAMANO ISLAND",
            "state": "WA",
            "postal_code": "982828489",
            "telephone_number": "206-419-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 SE CAMANO DR",
            "city": "CAMANO ISLAND",
            "state": "WA",
            "postal_code": "982828489",
            "telephone_number": "206-419-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E3497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148389001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "5M339",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cher Riedel, LMP
• Barbara Anne Riffle, LISW
• Hannah Savoy
• Nancy Kay Schmitz, LMP

All providers in Camano Island, WA · Anesthesiology Physician in Washington