BOB HARRY REID (NPI# 1639731516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639731516 |
Entity Type | Individual |
Full Name | BOB HARRY REID |
Practice Address |
48 Lakeside Trl Fairfield PA 17320-8222 |
Mailing Address |
Po Box 531 Fairfield PA 17320-0531 |
Practice Telephone | 7179331451 |
Mailing Telephone | 7179331451 |
Enumeration Date | 2019-07-01 |
Last Update Date | 2019-07-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
45238D48 | PA | Allopathic & Osteopathic Physicians |
Street Address |
48 LAKESIDE TRL |
City | FAIRFIELD |
State | PA |
Zip Code | 17320-8222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
1659417822 | Edgardo Fajardo Enriquez | Dentist | 34 Steelman Street, Fairfield, PA 17320 | 2007-01-29 |
1740286053 | Fairfield Community Fire Company Inc | Ambulance | 106 Steelman St, Fairfield, PA 17320 | 2005-06-22 |
1649500810 | Brenda Riley-gipe | Physical Therapist | 225 Emory Ln, Fairfield, PA 17320-7831 | 2010-01-11 |
1609482223 | Kelly Kurtz | Social Worker | 111 Janet Trl, Fairfield, PA 17320-8174 | 2020-09-18 |
1629030796 | Fairfield Medical Center Inc | Family Medicine | 4 Field Trl, Fairfield, PA 17320-8241 | 2006-04-04 |
1083971709 | John David Straw IIi | Hearing Instrument Specialist | 12 Water St, Fairfield, PA 17320-8252 | 2012-04-19 |
1962963397 | Olivia Leigh Brandt | Physician Assistant | 4 Skyline Trl, Fairfield, PA 17320-8560 | 2019-03-28 |
1518503689 | Greta Jones | Student in an Organized Health Care Education/Training Program | 855 Mcglaughlin Rd, Fairfield, PA 17320-9002 | 2019-11-22 |
1598981003 | Fairfield Area School District | Local Education Agency (LEA) | 4840 Fairfield Rd, Fairfield, PA 17320-9200 | 2007-04-17 |
Find all providers in zip 17320 |
Taxonomy Code | 207RA0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Allergy & Immunology |
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538666789 | Joseph A. Diconcetto, Md, PC | Internal Medicine | 5325 Northgate Dr Ste 104, Bethlehem, PA 18017-9412 | 2018-04-12 |
1801127469 | Chestnut Hill Allergy and Asthma Associates, LLC | Internal Medicine | 8200 Flourtown Ave Ste 4, Wyndmoor, PA 19038 | 2010-01-21 |
1467494096 | Karin Flynn-rodden | Internal Medicine | 1629 S Broad St, Philadelphia, PA 19148 | 2006-06-11 |
1952949562 | Stc Pediatrics LLC | Internal Medicine | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-12-13 |
1548804966 | Stc Pediatrics LLC | Internal Medicine | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-29 |
1124366869 | Ajsza Matela | Internal Medicine | 500 University Dr, Hershey, PA 17033-2360 | 2013-01-30 |
1467790220 | Nikolaos Maniatis | Internal Medicine | 3459 5th Ave, Muh, 628nw, Pittsburgh, PA 15213-3236 | 2013-01-29 |
1396002820 | Priya Jayesh Patel | Internal Medicine | 3737 Market St, Fl 3, Philadelphia, PA 19104-5501 | 2012-04-22 |
1194040303 | Quyen Nguyen | Internal Medicine | 3459 5th Ave, Department of Pulmonary, Allergy, and Critical Care Med, Pittsburgh, PA 15213-3236 | 2010-03-30 |
1093932493 | John Kemp | Internal Medicine | 500 University Dr, H088, Hershey, PA 17033-2360 | 2007-04-19 |
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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.