Active NPI
Reitz Neurology PLLC
- Specialist
- Enid, OK
National Provider Identifier
1891082152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13807
- Legal business name
- REITZ NEUROLOGY PLLC
- Practice address
- 1204 W Willow Rd
Suite C
Enid, OK 73703-2531 - Phone
- (580) 237-0549
- Fax
- (580) 237-7851
- NPI assigned
- Jul 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rolfe Dean Reitz, M.D.
- Title
- Member
- Phone
- (580) 237-0549
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 13807 | OK | Primary |
Addresses
Primary practice location
1204 W Willow Rd
Suite C
Enid, OK 73703-2531
Mailing address
1204 W Willow Rd
Suite C
Enid, OK 73703-2531
Phone (580) 237-0549
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130005602 | Other | OK | RAILROAD MEDICARE |
Other names 1
- Reitz Neurology
National Provider Directory
National Provider DirectoryLocations
1204 W Willow Rd
Ste C
Enid, OK 73703
Phone (580) 237-0171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309910400000",
"number": "1891082152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 W WILLOW RD",
"address_2": "SUITE C",
"city": "ENID",
"state": "OK",
"postal_code": "737032531",
"telephone_number": "580-237-0549",
"fax_number": "580-237-7851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 W WILLOW RD",
"address_2": "SUITE C",
"city": "ENID",
"state": "OK",
"postal_code": "737032531",
"telephone_number": "580-237-0549",
"fax_number": "580-237-7851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REITZ NEUROLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-06",
"last_updated": "2011-07-06",
"status": "A",
"authorized_official_last_name": "REITZ",
"authorized_official_first_name": "ROLFE",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "580-237-0549",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OK",
"license": "13807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "130005602",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Reitz Neurology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.