Active NPI
Pamela Reeser, MD
- Diagnostic Radiology Physician
- Shelton, CT
National Provider Identifier
1881689446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 024945
- Practice address
- 3 Enterprise Dr Ste 220
Shelton, CT 06484-4694 - Phone
- (203) 696-6125
- Fax
- (203) 696-6130
- NPI assigned
- Sep 20, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 024945 | CT | Primary |
Addresses
Primary practice location
3 Enterprise Dr Ste 220
Shelton, CT 06484-4694
Mailing address
3 Enterprise Dr Ste 220
Shelton, CT 06484-4694
Phone (203) 696-6125
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001249459-P2 | Other | CT | BLUE CARE FAMILY PLAN |
| 300128150 | Other | CT | RAILROAD MEDICARE |
| 0086989 | Other | CT | AETNA CT |
| 001249459 | Medicaid | CT | |
| ANC1162 | Other | CO | OXFORD HEALTH PLANS |
| 061613357 | Other | CT | CIGNA CT |
| 500HBX051CT01 | Other | CT | BCBS CT |
| OV9113 | Other | CT | HEALTH NET |
| 2069098 | Other | CT | UNITED HEALTHCARE |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024945 | CT | MD | Diagnostic Radiology Physician |
Interoperability endpoints
- preeser7254@direct.ynhh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1881689446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 ENTERPRISE DR STE 220",
"city": "SHELTON",
"state": "CT",
"postal_code": "064844694",
"telephone_number": "203-696-6125",
"fax_number": "203-696-6130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ENTERPRISE DR STE 220",
"city": "SHELTON",
"state": "CT",
"postal_code": "064844694",
"telephone_number": "203-696-6125",
"fax_number": "203-696-6130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESER",
"first_name": "PAMELA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": "024945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE FAMILY PLAN",
"identifier": "001249459-P2",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300128150",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA CT",
"identifier": "0086989",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001249459",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "ANC1162",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA CT",
"identifier": "061613357",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CT",
"identifier": "500HBX051CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "OV9113",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2069098",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.