Jay B Reeck, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD24395 Issued in OR

Practice address

1170 Royal Ave
Medford, OR 97504-6101

Phone

(541) 779-7331

Fax

(541) 779-3522

NPI assigned

Jul 13, 2006

Last updated

Mar 16, 2012By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medford Ear Nose and Throat Clinic PC

  dba Oregon Ear Nose and Throat Center

  • Otolaryngology Physician
  • Medford, OR
  • NPI 1669490546
  Medicare reassignment NPD
• Oregon Ear Nose and Throat Surgery

  • Ambulatory Surgical Clinic/Center
  • Medford, OR
  • NPI 1275821746
  Medicare reassignment NPD

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1972529212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 ROYAL AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046101",
            "telephone_number": "541-779-7331",
            "fax_number": "541-779-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 ROYAL AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046101",
            "telephone_number": "541-779-7331",
            "fax_number": "541-779-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REECK",
        "first_name": "JAY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OR",
            "license": "MD24395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00069650",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226899",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Reaka, QMHA
• Lacey A Reaves
• Redding Dermatology Medical Group, Inc. (CK Derm - Medford)
• Patricia M. Reddy, DNP, MSN, CNM, IBCLC
• Redemption Ridge
• Edward Reed, PSS
• Edward James Reed, MS/ LPC
• Eric Steven Reed, DC
• Joann Lanae Reed, MSN, NP-C
• Timothy Reed

• Otolaryngology Physician in Medford, OR
• Providers in Medford, OR by specialty
• Otolaryngology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.