DR. JUSTIN REED (NPI# 1174083422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174083422 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN REED |
| Credential | MD |
| Practice Address |
611 E Douglas Rd Ste 407 Mishawaka IN 46545-1468 |
| Mailing Address |
707 Cedar St Ste 200 South Bend IN 46617-2057 |
| Practice Telephone | 5743356500 |
| Practice Fax Number | 5743350772 |
| Mailing Telephone | 5743358707 |
| Mailing Fax Number | 5743350741 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629421623 | Justin Timothy Reed | Nurse Practitioner | 3001 Reserve Blvd Ste 200, Spring Hill, TN 37174-3101 | 2016-07-14 |
| 1093926123 | Justin W Reed | Counselor | Academy Building, 182 S.w. Academy St. Suite 304, Dallas, OR 97338 | 2007-05-24 |
| 1487186839 | Justin W Reed | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2017-04-03 |
| 1043693674 | Justin Claude Reed | Dentist | 1670 W Chapman Dr, Sanger, TX 76266-9054 | 2015-07-01 |
| 1225374788 | Justin Lawrence Daniel Reed | Counselor | 1941 S 42nd St, Omaha, NE 68105-2939 | 2013-01-02 |
| 1982955761 | Justin Reed | Physician Assistant | 1792 Alysheba Way Ste 150, Lexington, KY 40509-2285 | 2012-09-20 |
| 1346532215 | Justin Neil Reed | Internal Medicine | 3030 N Rocky Point Dr W, Ste670, Tampa, FL 33607-5803 | 2011-05-10 |
| 1649277443 | Justin A Reed | Colon & Rectal Surgery | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2005-07-07 |
| Street Address |
611 E DOUGLAS RD STE 407 |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-1468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710325386 | Brigitte R Selio | Family Medicine | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2013-06-05 |
| 1790312890 | Akanksha Ashwini | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-26 |
| 1225665565 | Christina Pedro | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-26 |
| 1568099042 | Nicholas Joseph Walter | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-25 |
| 1447887187 | Andrew Hyrcza | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-24 |
| 1669009379 | Aditya Voruganti | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-24 |
| 1467089185 | Jeremy Carter | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-24 |
| 1437786233 | Timothy Aaron Lehman | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-24 |
| 1356978233 | Sheena Paresh Shah | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-23 |
| 1992332712 | Jessica Ann Williams | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659803484 | Serena Mathews | Student in an Organized Health Care Education/Training Program | 536 N Harding Ave, Mishawaka, IN 46544-3827 | 2017-03-30 |
| 1790312890 | Akanksha Ashwini | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-26 |
| 1225665565 | Christina Pedro | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-26 |
| 1043847221 | Zoe Marie Simaz | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 101, Mishawaka, IN 46545-1464 | 2020-03-26 |
| 1568099042 | Nicholas Joseph Walter | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-25 |
| 1447887187 | Andrew Hyrcza | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-24 |
| 1669009379 | Aditya Voruganti | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-24 |
| 1467089185 | Jeremy Carter | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-24 |
| 1437786233 | Timothy Aaron Lehman | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-24 |
| 1356978233 | Sheena Paresh Shah | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 | 2020-03-23 |
| Find all providers in MISHAWAKA | ||||
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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.