DR. REGINALD J EADIE


Address: 6071 W Outer Dr, Detroit, MI 48235-2624
Phone: 3137452780

DR. REGINALD J EADIE (NPI# 1902866734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902866734
Entity Type Individual
Full Name DR. REGINALD J EADIE
Credential M.D.
Practice Address 6071 W Outer Dr
Detroit
MI 48235-2624
Mailing Address 6940 Kennesaw Rd
Canton
MI 48187-1283
Practice Telephone 3137452780
Practice Fax Number 3137451520
Enumeration Date 2006-03-24
Last Update Date 2009-02-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services 		4301065909 MI Allopathic & Osteopathic Physicians
N 208D00000X General Practice 4301065909 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 104205660 05
MI 104184200 05
MI BC/BS OF MI RE065909 01

Office Location

Street Address 6071 W OUTER DR
City DETROIT
State MI
Zip Code 48235-2624

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205836806 Select Specialty Hospital - Northwest Detroit Inc Long Term Care Hospital 6071 W Outer Dr, 7th Floor, Detroit, MI 48235-2624 2005-07-26
1356965198 Anielle Ball Registered Nurse 6071 W Outer Dr, Detroit, MI 48235-2624 2020-06-07
1427672708 Nitesh Kumar Byrappa Student in an Organized Health Care Education/Training Program 6071 W Outer Dr, Detroit, MI 48235-2624 2020-06-03
1992327969 Chandima Jinani Herath Mudiyanselage Student in an Organized Health Care Education/Training Program 6071 W Outer Dr, Detroit, MI 48235 2020-05-13
1790307783 Patrick Riedy Student in an Organized Health Care Education/Training Program 6071 W Outer Dr, Detroit, MI 48235-2624 2020-05-12
1518589878 Nnadozie Okoroafor Student in an Organized Health Care Education/Training Program 6071 W Outer Dr, Detroit, MI 48235-2624 2020-05-09
1720609803 Charmayne Gail Cooley Student in an Organized Health Care Education/Training Program 6071 W Outer Dr, Detroit, MI 48235-2624 2020-04-30
1841811890 Noren Din Internal Medicine 6071 W Outer Dr, Detroit, MI 48235-2624 2020-04-30
1962023069 Haseeb Khan Student in an Organized Health Care Education/Training Program 6071 W Outer Dr, Detroit, MI 48235-2624 2020-04-29
1285255570 Edward Park Student in an Organized Health Care Education/Training Program 6071 W Outer Dr, Detroit, MI 48235-2624 2020-04-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457976292 Ali Nauman Khan Student in an Organized Health Care Education/Training Program Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 2020-06-08
1629690565 Faseeha Arshad Gondal Student in an Organized Health Care Education/Training Program Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 2020-05-14
1902428832 Muhanad Abou Touk Student in an Organized Health Care Education/Training Program Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 2020-05-14
1780206730 Ahmad Mismar Student in an Organized Health Care Education/Training Program Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 2020-05-13
1023630589 Joao Paulo Fontana Bragagnollo Student in an Organized Health Care Education/Training Program 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 2020-05-07
1881216216 Mohammad Awad Jaber Student in an Organized Health Care Education/Training Program 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 2020-05-07
1366064818 Syeda Busmah Owais Student in an Organized Health Care Education/Training Program 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 2020-05-07
1184245680 Sushmitha Nanja Reddy Student in an Organized Health Care Education/Training Program Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 2020-05-06
1972164796 Jack Phillip Tomen Student in an Organized Health Care Education/Training Program Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 2019-06-24
1346809464 Anusha Bapatla Student in an Organized Health Care Education/Training Program 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 2019-06-12
Find all providers in zip 48235

Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013275866 Brooke M Frakes Emergency Medicine 6071 W Outer Dr, Detroit, MI 48235-2624 2012-04-30
1568728137 David Wesley Strong Emergency Medicine 4201 Saint Antoine St, Suite 3r, Detroit, MI 48201-2153 2012-04-07
1093090458 Candace Nicole Johnson Emergency Medicine 6071 W Outer Dr, Detroit, MI 48235-2624 2011-10-18
1881826311 Emmanuel Ayodele Oke Jr. Emergency Medicine 22101 Moross Rd, Detroit, MI 48236-2148 2009-08-17
1407084296 Monty Rex Lybbert Emergency Medicine 6071 W Outer Dr, Detroit, MI 48235-2624 2009-06-30
1043466592 Megan Duffey Bonanni Emergency Medicine 6071 W Outer Dr, Detroit, MI 48235-2624 2008-08-15
1801062930 Christopher James Budziak Emergency Medicine 4201 Saint Antoine St, Suite 6g, Detroit, MI 48201-2153 2008-05-08
1871766998 Anoop Qadir Majjhoo Emergency Medicine 4201 St Antoine, 3r Detroit Receiving Hospital, Detroit, MI 48201 2008-04-09
1053520700 Dimitrios T. Mougolias Emergency Medicine 2799 W Grand Blvd, Detroit, MI 48202-2608 2007-05-21
1033326822 Luke Christopher Craig Saski Emergency Medicine 3990 John R St, Detroit, MI 48201-2018 2007-05-17
Find all providers in DETROIT

Competitor

Search similar providers

City DETROIT
Zip Code 48235

Improve Information

Please comment or provide details below to improve the information on DR. REGINALD J EADIE.

Dataset Information

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.

Trending Searches