Active NPI
Ronald R Reese, MD
- Family Medicine Physician
- Harrison, AR
National Provider Identifier
1972549020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C4853
- Practice address
- 114 E Crandall
Suite C
Harrison, AR 72601-3628 - Phone
- (870) 741-2299
- Fax
- (870) 741-6412
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C4853 | AR | Primary |
Addresses
Primary practice location
114 E Crandall
Suite C
Harrison, AR 72601-3628
Mailing address
PO Box 458
Harrison, AR 72602-0458
Phone (870) 741-2299
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101287001 | Medicaid | AR | |
| 138860000 | Other | AR | QUALCHOICE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4853 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1972549020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 458",
"city": "HARRISON",
"state": "AR",
"postal_code": "726020458",
"telephone_number": "870-741-2299",
"fax_number": "870-741-6412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E CRANDALL",
"address_2": "SUITE C",
"city": "HARRISON",
"state": "AR",
"postal_code": "726013628",
"telephone_number": "870-741-2299",
"fax_number": "870-741-6412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "RONALD",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C4853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101287001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "138860000",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.