Active NPI
Mark Edward Reiner, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Jonesboro, AR
National Provider Identifier
1841236668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 110
- Practice address
- 637 E Matthews Ave
Jonesboro, AR 72401-3145 - Phone
- (870) 931-3338
- Fax
- (870) 935-9084
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 110 | AR | Primary |
Addresses
Primary practice location
637 E Matthews Ave
Jonesboro, AR 72401-3145
Mailing address
637 E Matthews Ave
Jonesboro, AR 72401-3145
Phone (870) 931-3338
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12802000000 | Other | AR | QUAL CHOICE PROVIDER # |
| 56068 | Other | AR | BLUE CROSS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841236668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 E MATTHEWS AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013145",
"telephone_number": "870-931-3338",
"fax_number": "870-935-9084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 E MATTHEWS AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013145",
"telephone_number": "870-931-3338",
"fax_number": "870-935-9084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINER",
"first_name": "MARK",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AR",
"license": "110",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUAL CHOICE PROVIDER #",
"identifier": "12802000000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER #",
"identifier": "56068",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.