Timothy Neil Reid in Carrollton - Sports Medicine
Timothy Neil Reid - NPI 1811090780
Timothy Neil Reid is a Sports Medicine in Carrollton, Missouri. Timothy Neil Reid practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Timothy Neil Reid is 1811090780. The last update date is 2021-10-29.
Timothy Neil Reid's current location address is 1502 N Jefferson St, Carrollton, Missouri. You can contact this provider via phone number 6605421695 and fax number 6605420363. The mailing address for Timothy Neil Reid is 1502 N Jefferson St, Carrollton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Neil Reid |
|---|---|
| Address | 1502 N Jefferson St, Carrollton, Missouri |
| Phone Number | 6605421695 |
| Fax Number | 6605420363 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811090780 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2021-10-29 |
Provider Mailing Address Detail
| Address | 1502 N Jefferson St |
|---|---|
| City | Carrollton |
| State | Missouri (MO) |
| Post Code | 646331948 |
| Phone Number | 6605421695 |
| Fax Number | 6605420363 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 2005018441 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 209427608 | MO | -- | |
| 1811090780 | MO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Timothy Neil Reid by the Centers for Medicare & Medicaid Services?
The Timothy Neil Reid has been issued the NPI (National Provider Identifier) 1811090780. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Timothy Neil Reid's facilities are situated?
The facilities of Timothy Neil Reid are physically located at the following address: 1502 N Jefferson St, Carrollton, MO, 646331948.
What is the Timothy Neil Reid's specialty and taxonomy code?
The Timothy Neil Reid's specialty is Sports Medicine, and the corresponding taxonomy code is 207Qs0010X.
On what date did the Timothy Neil Reid receive its 1811090780 assignment from the Centers for Medicare & Medicaid Services?
The Timothy Neil Reid was assigned its 1811090780 by the Centers for Medicare & Medicaid Services on 2006-09-06.
As of what date was the information pertaining to Timothy Neil Reid, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Timothy Neil Reid, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-10-29.