MARK B. REEDY, M.D., PLLC (NPI# 1669816591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669816591 |
| Entity Type | Organization |
| Organization Name | MARK B. REEDY, M.D., PLLC |
| Practice Address |
1665 Antilley Rd Suite 250 Abilene TX 79606-5265 |
| Practice Telephone | 3256924194 |
| Mailing Telephone | 3256924194 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-23 |
| Authorized Official Name | DR. MARK B REEDY (OWNER) |
| Authorized Official Telephone | 3256924194 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
H8348 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1665 ANTILLEY RD SUITE 250 |
| City | ABILENE |
| State | TX |
| Zip Code | 79606-5265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346242567 | Abilene Diagnostic Clinic, Pllc | Specialist | 1665 Antilley Rd, # 200, Abilene, TX 79606-5265 | 2005-06-01 |
| 1801203203 | Sycamore Home Health Care LLC | Home Health | 1665 Antilley Rd, Suite 240, Abilene, TX 79606-5265 | 2014-07-17 |
| 1780090688 | Amber Taff | Nurse Practitioner | 1665 Antilley Rd, Suite 200, Abilene, TX 79606-5265 | 2014-07-11 |
| 1467863837 | Imperium Consulting, LLC | Clinical Nurse Specialist | 1665 Antilley Rd, 240, Abilene, TX 79606-5265 | 2014-05-19 |
| 1760893606 | Karen Szabo | Physician Assistant | 1665 Antilley Rd, Suite 180, Abilene, TX 79606-5265 | 2014-05-14 |
| 1366873671 | Jennifer Abney | Nurse Practitioner | 1665 Antilley Rd, Suite 150, Abilene, TX 79606-5265 | 2013-12-12 |
| 1992143325 | Monica Morris Smola | Nurse Practitioner | 1665 Antilley Rd, Suite 150, Abilene, TX 79606-5265 | 2013-06-07 |
| 1114205408 | Integracare Hospice of Abilene, LLC | Hospice Care, Community Based | 1665 Antilley Rd, Ste 300, Abilene, TX 79606-5265 | 2011-08-03 |
| 1184919110 | Vincent Leonard Van Acht | Family Medicine | 1665 Antilley Rd, Suite 200, Abilene, TX 79606-5265 | 2011-06-17 |
| 1457679250 | Abilene Urology, Pllc | Urology | 1665 Antilley Rd, Suite 240, Abilene, TX 79606-5265 | 2010-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
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| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779299 | Beverly Gail Hutzler | Obstetrics & Gynecology | 4502 Medical Dr # 71-1, San Antonio, TX 78229-4402 | 2020-01-07 |
| 1548827496 | Jeffrey Andrew How | Obstetrics & Gynecology | 1155 Herman Pressler, Unit 1362, Houston, TX 77030-4000 | 2019-05-28 |
| 1790123156 | Hatem Hatem | Obstetrics & Gynecology | 7719 S Ih 35 Ste 220, San Antonio, TX 78224-1469 | 2013-06-07 |
| 1619286465 | Behrouz Zand | Obstetrics & Gynecology | 18100 St. John Dr., Suite 250, Nassau Bay, TX 77058 | 2010-09-28 |
| 1033435367 | Abel Moron | Obstetrics & Gynecology | 12200 Park Central Dr Ste 410, Dallas, TX 75251-2101 | 2010-04-12 |
| 1043295728 | Christine M. Lee | Obstetrics & Gynecology | 920 Medical Plaza Dr Ste 300, Shenandoah, TX 77380-3256 | 2005-12-14 |
| 1467435982 | Carlos Alberto Herrera | Obstetrics & Gynecology | 2717 Michael Angelo, Ste 304, Edinburg, TX 78539 | 2005-11-29 |
| 1447232467 | John L. Dalrymple | Obstetrics & Gynecology | 911 W 38th St, Suite 202, Austin, TX 78705-1188 | 2005-11-16 |
| 1184615452 | Edward Robert Kost | Obstetrics & Gynecology | 903 W Martin St, San Antonio, TX 78207-0903 | 2005-11-04 |
| 1487659876 | Mark Brendan Reedy | Obstetrics & Gynecology | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2005-06-14 |
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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.