Mitchell C Reese, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

23077 Issued in NC

Practice address

1801 Doctors Dr
Sanford, NC 27330-5067

Phone

(919) 774-7117

Fax

(919) 776-6715

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sanford Pediatrics, P.a.

  • Pediatrics Physician
  • Sanford, NC
  • NPI 1356300248
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1922098490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 DOCTORS DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305067",
            "telephone_number": "919-774-7117",
            "fax_number": "919-776-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 DOCTORS DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305067",
            "telephone_number": "919-774-7117",
            "fax_number": "919-776-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "MITCHELL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NC",
            "license": "23077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "23077",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RCTG, LLC
• Recharged Perception LLC
• Alexis Renae Reece, MSW, LCSWA
• Joy Yow Reece, RTRMQM
• Eileen Marie Reese, RN
• Jennifer Sims Reeves, PHARM D
• Mackenzie G Rehm, NP-C
• Scott Andrew Reiner, D.C.
• Cynthia Valencia Reives, LPC
• Relatyv Mobile Medical LLC

• Pediatric Adolescent Medicine Physician in Sanford, NC
• Providers in Sanford, NC by specialty
• Pediatric Adolescent Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.