Active NPI
James T Reeder Jr., D.O.
- Interventional Cardiology Physician
- Mason City, IA
National Provider Identifier
1871589838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- DO-02005
- Practice address
- 250 S Crescent Dr
Mason City, IA 50401-2926 - Phone
- (641) 494-5300
- Fax
- (641) 494-5321
- NPI assigned
- Sep 26, 2005
- Last updated
- Jan 24, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2005 | IA | |
| Interventional Cardiology Physician | 207RI0011X | DO-02005 | IA | Primary |
Addresses
Primary practice location
250 S Crescent Dr
Mason City, IA 50401-2926
Mailing address
250 S Crescent Dr
Mason City, IA 50401-2926
Phone (641) 494-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3211219 | Medicaid | IA |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1871589838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 S CRESCENT DR",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012926",
"telephone_number": "641-494-5400",
"fax_number": "641-494-5403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 S CRESCENT DR",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504012926",
"telephone_number": "641-494-5300",
"fax_number": "641-494-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEDER",
"first_name": "JAMES",
"middle_name": "T",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IA",
"license": "2005",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IA",
"license": "DO-02005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3211219",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.