Individual provider Active NPI

Stephen Reineck, DO

  • Emergency Medicine Physician
  • Sandusky, OH
National Provider Identifier
1972597664
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.004073 Issued in OH
Practice address
1101 Decatur St
Sandusky, OH 44870-3335
Phone
(419) 626-7400
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 34004073R OH
Emergency Medicine Physician 207P00000X 34.004073 OH Primary

Addresses

Primary practice location

1101 Decatur St
Sandusky, OH 44870-3335

Mailing address

2203 Eagles Nest Cir
Sandusky, OH 44870-7024
Phone (419) 625-1343

Other identifiers 1

IdentifierTypeStateIssuer
0674953MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20060829000070 OH Practitioner - Emergency Medicine 9537163837 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4073OHMDChiropractor
34.004073OHMDEmergency Medicine Physician
34004073ROHMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
Knox Emergency Services, LLC Emergency Medicine Past Accepting new patients
Tiffin Emergency Services, LLC Emergency Medicine Past Accepting new patients
ER-Doc Inc Emergency Medicine Past Accepting new patients
Midwest Emergency Management Ohio, Inc Emergency Medicine Past Accepting new patients

Locations

1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

Organizations & group practices 5

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1972597664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 EAGLES NEST CIR",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707024",
            "telephone_number": "419-625-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 DECATUR ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703335",
            "telephone_number": "419-626-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINECK",
        "first_name": "STEPHEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OH",
            "license": "34004073R",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.004073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0674953",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.