NPIMap

Individual provider Active NPI

Witford L Reid, M.D.

  • Specialist
  • Sebring, FL
National Provider Identifier
1982698692
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0076048 Issued in FL
Practice address
9 Ryant Blvd
Sebring, FL 33872-4075
Phone
(863) 471-1413
Fax
(863) 471-1416
NPI assigned
Sep 8, 2005
Last updated
Oct 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0076048 FL Primary

Addresses

Primary practice location

9 Ryant Blvd
Sebring, FL 33872-4075

Mailing address

9 Ryant Blvd
Sebring, FL 33872-4075
Phone (863) 471-1413

Other identifiers 2

IdentifierTypeStateIssuer
46267OtherFLBLUE CROSS BLUE SHIELD
255913700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040114000227 FL Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 4082514302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9 Ryant Blvd
Sebring, FL 33870-8075
Phone (863) 385-9333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0076048FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sebring Pain Management & Rehabilitation Center LLC Specialist CurrentSince Apr 1, 2005 Accepting new patients
Mark E. Jawahir PA PastSince Jun 16, 2004 Accepting new patients

Locations

3151 Bobcat Village Center Rd
North Port, FL 34288
Phone (863) 385-9333

9 Ryant Blvd
Sebring, FL 33870
Phone (863) 385-9333

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Adventhealth SebringSebring, FL, CCN 100109 Hospital Corporate Director Aug 22, 2024
Adventhealth WauchulaWauchula, FL, CCN 101300 Hospital Corporate Director Aug 22, 2024
Adventhealth Wauchula-Swing BedWauchula, FL, CCN 10Z300 Hospital Corporate Director Aug 22, 2024
Adventhealth Family and Lifestyle Medicine Avon ParkAvon Park, FL, CCN 103449 Rural health clinic Corporate Director Aug 22, 2024
Adventhealth Family Medicine WauchulaWauchula, FL, CCN 103448 Rural health clinic Corporate Director Aug 22, 2024
Adventhealth Family Medicine FrostproofFrostproof, FL, CCN 103975 Rural health clinic Corporate Director Aug 22, 2024

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

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": "1317686400000",
    "number": "1982698692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RYANT BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338724075",
            "telephone_number": "863-471-1413",
            "fax_number": "863-471-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RYANT BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338724075",
            "telephone_number": "863-471-1413",
            "fax_number": "863-471-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "WITFORD",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0076048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "46267",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255913700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.