Active NPI
Raymond R Reese, M.D.
- General Practice Physician
- Cuero, TX
National Provider Identifier
1902842313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- C9110
- Practice address
- 2500 N Esplanade St
Ste 102
Cuero, TX 77954-4723 - Phone
- (361) 275-3466
- Fax
- (361) 275-2431
- NPI assigned
- Jun 22, 2006
- Last updated
- Aug 18, 2022
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | C9110 | TX | Primary |
Addresses
Primary practice location
2500 N Esplanade St
Ste 102
Cuero, TX 77954-4723
Mailing address
2500 N Esplanade St
Ste 102
Cuero, TX 77954-4723
Phone (361) 275-2463
Other practice location 1
113 W Main St
Kenedy, TX 78119-2717
Phone (830) 583-0627
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120302808 | Medicaid | TX | |
| 8P9301 | Other | TX | BLUE CROSS BLUE SHIELD OF |
| 120302805 | Medicaid | TX | |
| 120302807 | Medicaid | TX |
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
Interoperability endpoints
- raymondreese@dmdclinic.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1902842313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N ESPLANADE ST",
"address_2": "STE 102",
"city": "CUERO",
"state": "TX",
"postal_code": "779544723",
"telephone_number": "361-275-2463",
"fax_number": "361-275-2431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N ESPLANADE ST",
"address_2": "STE 102",
"city": "CUERO",
"state": "TX",
"postal_code": "779544723",
"telephone_number": "361-275-3466",
"fax_number": "361-275-2431"
}
],
"practiceLocations": [
{
"address_1": "113 W Main St",
"address_purpose": "LOCATION",
"city": "Kenedy",
"state": "TX",
"postal_code": "781192717",
"country_code": "US",
"telephone_number": "830-583-0627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REESE",
"first_name": "RAYMOND",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "C9110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120302808",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "8P9301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120302805",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120302807",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cuero, TX
- Kimberly Niitzel, OTR/L
- Parkside Family Clinic, PA
- David Ronald Polasek, RPH
- Misty Polasek, M.S. CCC-SLP
- Post Investments, Inc. (Alexander Adult Activity Center)
- Renal Treatment Centers-Southeast, LP. (Cuero Lakeview Dialysis)
- Harvey Renger, M.D.
- Cynthia Rother
- Schley Pharmacies (Cuero Discount Pharmacy)
- Leo Sharron, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.