Individual provider Active NPI

John Steven Reifschneider, D.O.

  • Ophthalmology Physician
  • Leavenworth, KS
National Provider Identifier
1972519247
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0523244 Issued in KS
Practice address
1001 6TH Ave
Suite 100
Leavenworth, KS 66048-3222
Phone
(913) 682-2900
Fax
(913) 682-8913
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0523244 KS Primary

Addresses

Primary practice location

1001 6TH Ave
Suite 100
Leavenworth, KS 66048-3222

Mailing address

1001 6TH Ave
Suite 100
Leavenworth, KS 66048-3222
Phone (913) 682-2900

Other identifiers 5

IdentifierTypeStateIssuer
046142OtherKSBCBSKS
16241048OtherMOBCBSKC
632700OtherMOFIRST GUARD
180045348OtherKSMEDICARE RAIL ROAD
100234140AMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jreifschneider@mec.integrityemrdirect.com

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, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0523244KSMDOphthalmology Physician

Interoperability endpoints

  • Direct secure messaging: jreifschneider@moyeseye.direct.eyemdemr.com

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1972519247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 6TH AVE",
            "address_2": "SUITE 100",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660483222",
            "telephone_number": "913-682-2900",
            "fax_number": "913-682-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 6TH AVE",
            "address_2": "SUITE 100",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660483222",
            "telephone_number": "913-682-2900",
            "fax_number": "913-682-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFSCHNEIDER",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "0523244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKS",
            "identifier": "046142",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "16241048",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD",
            "identifier": "632700",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "180045348",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100234140A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jreifschneider@mec.integrityemrdirect.com",
            "affiliation": "N",
            "address_1": "5151 NW 88th St",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641542700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.