HERMAN L. REID III, M.D., LLC (NPI# 1871917674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871917674 |
Entity Type | Organization |
Organization Name | HERMAN L. REID III, M.D., LLC |
Practice Address |
7839 S Professional Dr Fort Branch IN 47648-8405 |
Mailing Address |
18920 Roscommon Rd Evansville IN 47725-6417 |
Practice Telephone | 8124578182 |
Practice Fax Number | 8128676951 |
Mailing Telephone | 8124578182 |
Mailing Fax Number | 8128676951 |
Enumeration Date | 2014-02-13 |
Last Update Date | 2015-10-21 |
Authorized Official Name | MRS. MARIA E PENN-REID (PRACTICE MANAGER) |
Authorized Official Telephone | 8124578182 |
Authorized Official Credential | BA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QH0100X |
Clinic/Center Specialization: Health Service |
036109090 | IL | Ambulatory Health Care Facilities |
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
01056394A | IN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200389450A | 05 | |
IL | 173443397 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | HERMAN L. REID III, M.D., LLC | 7839 South Professional Drive, Fort Branch, IN 47648 |
Street Address |
7839 S PROFESSIONAL DR |
City | FORT BRANCH |
State | IN |
Zip Code | 47648-8405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699774885 | Herman L Reid IIi | Specialist | 7839 S Professional Dr, Fort Branch, IN 47648-8405 | 2005-07-19 |
1942585963 | Herman L. Reid IIi Md LLC | Specialist | 7839 S Professional Dr, Fort Branch, IN 47648-8405 | 2011-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184024242 | Gibson General Hospital, Inc | Nurse Practitioner | 7851 S Professional Dr, Fort Branch, IN 47648 | 2014-08-26 |
1821216599 | Demetra G Tolley | Speech-Language Pathologist | 3900e 750s, Ft. Branch, IN 47648 | 2007-04-20 |
1376679985 | Wayne Patrick Murphy | Chiropractor | 902 E Vine St, Fort Branch, IN 47648 | 2007-02-26 |
1528187333 | Murphy Chiropractic Services Inc | Chiropractor | 902 E Vine St, Fort Branch, IN 47648 | 2007-03-29 |
1932225372 | Tulip Tree Health Services of Gibson County, Inc. | Dentist | 123 N Mccreary St, Fort Branch, IN 47648 | 2007-03-21 |
1982730503 | Tina Marie Murphy | Chiropractor | 902 E Vine St, Fort Branch, IN 47648 | 2007-02-26 |
1922014158 | Bruce Holder | Dentist | 203 W Vine St, Fort Branch, IN 47648-1035 | 2006-07-31 |
1831191030 | Mellisa A Hall | Nurse Practitioner | 123 N Mccreary St, Tulip Tree Family Health, Fort Branch, IN 47648-1313 | 2005-06-01 |
1194331371 | Martha Amanda Newcomb | Nurse Practitioner | 123 N Mccreary St, Fort Branch, IN 47648-1313 | 2020-09-22 |
1619431566 | Heath Christian Kohlmeier | Nurse Practitioner | 123 N Mccreary St, Fort Branch, IN 47648-1313 | 2019-01-24 |
Find all providers in zip 47648 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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1861757023 | Integrative Therapeutics LLC | Clinic/Center | 11074 Woods Bay Ln, Indianapolis, IN 46236-9020 | 2012-07-12 |
Find all providers with the same taxonomy |
City | FORT BRANCH |
Zip Code | 47648 |
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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.