JAMES MICHAEL REIDY (NPI# 1174551014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174551014 |
| Entity Type | Individual |
| Full Name | JAMES MICHAEL REIDY |
| Credential | D.O. |
| Practice Address |
2680 S Val Vista Dr Bldg 13, Unit 175 Gilbert AZ 85295-2152 |
| Practice Telephone | 4807840110 |
| Practice Fax Number | 4807840220 |
| Mailing Telephone | 4807840110 |
| Mailing Fax Number | 4807840220 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2012-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
4012 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BLUE CROSS OF AZ | AZ0762840 | 01 |
| AZ | 876617 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356475388 | James Reidy | Specialist/Technologist | 5451 Doris Dr, Allentown, PA 18106-9382 | 2007-03-14 |
| 1457394934 | James E Reidy | Family Medicine | 303 S Main, Suite 212, Mishawaka, IN 46544-2160 | 2006-06-13 |
| 1265469886 | James P Reidy | Internal Medicine | 435 E Henrietta Rd, Rochester, NY 14620-4629 | 2006-06-27 |
| 1851366496 | James Joseph Reidy | Ophthalmology | 3580 Sheridan Dr, Suite 150, Amherst, NY 14226-1645 | 2006-02-17 |
| Street Address |
2680 S VAL VISTA DR BLDG 13, UNIT 175 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486500 | Jack L Hostetler | Optometrist | 2680 S Val Vista Dr, #111, Gilbert, AZ 85295-2152 | 2005-06-09 |
| 1861939530 | Lauara Uhl | Physician Assistant | 2680 S Val Vista Dr, Ste 175, Gilbert, AZ 85295-2152 | 2017-01-19 |
| 1396292728 | Rachel Salcedo | Nurse Practitioner | 2680 S Val Vista Dr, Building 4 Suite 116, Gilbert, AZ 85295-2152 | 2016-09-01 |
| 1023461746 | Jole-lanee Guido | Nurse Practitioner | 2680 S Val Vista Dr, Suite 116, Gilbert, AZ 85295-2152 | 2016-07-18 |
| 1881040053 | Ab Med, LLC | Specialist | 2680 S Val Vista Dr, Suite 152, Gilbert, AZ 85295-2152 | 2016-05-06 |
| 1720478019 | Total Eyecare Centers, Pllc | Optometrist | 2680 S Val Vista Dr, Suite 111, Gilbert, AZ 85295-2152 | 2015-01-26 |
| 1316281967 | The Core Institute Spine Center Gilbert | Pain Medicine | 2680 S Val Vista Dr, Building 9, Suite 146, Gilbert, AZ 85295-2152 | 2012-11-20 |
| 1134479892 | Arizona Advanced Anesthesia LLC | Anesthesiology | 2680 S Val Vista Dr, Suite #127, Gilbert, AZ 85295-2152 | 2012-09-10 |
| 1093085904 | Arizona Advanced Endoscopy LLC | Clinic/Center | 2680 S Val Vista Dr, Suite 127, Gilbert, AZ 85295-2152 | 2012-01-09 |
| 1174810766 | Renovo Clinic | Clinic/Center | 2680 S Val Vista Dr, Suite 187, Gilbert, AZ 85295-2152 | 2011-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
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| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699896027 | Tracey Knott | Otolaryngology | 3420 S Mercy Rd, Suite 107, Gilbert, AZ 85297-0419 | 2007-04-03 |
| 1710014410 | Enticare PC | Otolaryngology | 3420 S Mercy Rd, Ste 107, Gilbert, AZ 85297-0419 | 2007-02-28 |
| 1942292024 | Brian E Trainor | Otolaryngology | 3420 S Mercy Rd, Ste 107, Gilbert, AZ 85297-0419 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508111048 | Burton E Weissman | Otolaryngology | 6736 N 60th St, Paradise Valley, AZ 85253-3414 | 2012-07-20 |
| 1053575167 | A Sultan Lalani M D Ltd | Otolaryngology | 2175 S Avenue A Ste B, Yuma, AZ 85364-8458 | 2008-07-17 |
| 1508065160 | Brian Trainor, Do, Pllc | Otolaryngology | 3501 N Scottsdale Rd Ste 142, Scottsdale, AZ 85251-5632 | 2007-07-13 |
| 1922126085 | Arizona Head Neck & Facial Surgery Ltd | Otolaryngology | 1515 N 9th Street, Suite B, Phoenix, AZ 85006 | 2007-03-27 |
| 1427519255 | Daniela Ann Brake | Otolaryngology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2019-03-26 |
| 1619449303 | Taylor Cave | Otolaryngology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2018-12-19 |
| 1679801526 | Richard Besserman | Otolaryngology | 3104 E Camelback Rd, #107, Phoenix, AZ 85016-4502 | 2009-12-03 |
| 1396912911 | Samuel Steven Bailey | Otolaryngology | 20201 N Scottsdale Healthcare Dr, Ste 230, Scottsdale, AZ 85255-4134 | 2008-05-13 |
| 1518186956 | David A Hecht Md PC | Otolaryngology | 20201 N Scottsdale Healthcare Dr, Suite 250, Scottsdale, AZ 85255-4134 | 2007-04-24 |
| 1760469258 | Shepherd G Pryor V | Otolaryngology | 8952 E Desert Cove Ave, Suite 205, Scottsdale, AZ 85260 | 2005-12-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.