Individual provider Active NPI

Taylor Reed, PA

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1841372018
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006530 Issued in NY
Practice address
Jhbmc - Dept. of Surgery 4940 Eastern Ave
Room566
Baltimore, MD 21224-2735
Phone
(410) 550-6182
Fax
(410) 550-0633
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 006530 NY Primary

Addresses

Primary practice location

Jhbmc - Dept. of Surgery 4940 Eastern Ave
Room566
Baltimore, MD 21224-2735

Mailing address

9900 Greenbelt Rd
Suite 310
Lanham, MD 20706-2255
Phone (917) 453-0746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090120000568 MD Practitioner - Physician Assistant 6709973688 Reassigns benefits to 1 organization
I20191226000657 DC Practitioner - Physician Assistant 6709973688 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006530NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries, LLC CurrentSince Dec 1, 2019 Accepting new patients
Johns Hopkins University CurrentSince Dec 1, 2010 Accepting new patients
MNR Industries, LLC CurrentSince Dec 1, 2019 Accepting new patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Dec 1, 2019 Accepting new patients
Johns Hopkins University CurrentSince Dec 1, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4940 Eastern Ave
Baltimore, MD 21224

4940 Eastern Ave
#3
Baltimore, MD 21224

4940 Eastern Ave
Rm 566
Baltimore, MD 21224
Phone (410) 550-6182

600 N Wolfe St
Baltimore, MD 21287

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

8000 Loch Raven Blvd
Towson, MD 21286
Phone (410) 616-9027

Organizations & group practices 8

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1841372018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 GREENBELT RD",
            "address_2": "SUITE 310",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062255",
            "telephone_number": "917-453-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JHBMC - DEPT. OF SURGERY 4940 EASTERN AVE",
            "address_2": "ROOM566",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242735",
            "telephone_number": "410-550-6182",
            "fax_number": "410-550-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "TAYLOR",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.