DR. RICHARD CLYDE REID (NPI# 1528086857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528086857 |
| Entity Type | Individual |
| Full Name | DR. RICHARD CLYDE REID |
| Credential | M.D. |
| Practice Address |
1300 Sunset Dr Suite F Grenada MS 38901-4086 |
| Practice Telephone | 6622265747 |
| Practice Fax Number | 6622265622 |
| Mailing Telephone | 6622265747 |
| Mailing Fax Number | 6622265622 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12877 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE | 080170278 | 01 |
| MS | RAILROAD MEDICARE GROUP | CH9466 | 01 |
| MS | PECOS | 1700994738 | 01 |
| MS | 09013778 | 05 | |
| MS | 0112675 | 05 | |
| MS | BC/BS OF MISSISSIPPI | 640835695 | 01 |
| MS | 09014826 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144613910 | Richard Reid | Physical Therapist | 1860 Morgan Pointe Ct, Reno, NV 89523-4800 | 2015-03-18 |
| 1790126225 | Richard A Reid | Military Health Care Provider | 16015 Good Meadow Ct, N Potomac, MD 20878 | 2013-07-12 |
| 1578776498 | Richard L Reid | Physical Therapist | 700 N. Colorado Blvd, #318, Denver, CO 80206 | 2007-05-07 |
| 1922138544 | Richard Joseph Reid | Dentist | 523 W 87th St, Naperville, IL 60565 | 2007-03-06 |
| 1245396928 | Richard Bentley Reid | Dentist | 685 Blythe Street Ct Ste B, Hendersonville, NC 28739-4167 | 2006-12-28 |
| 1932757929 | Richard Grantphil Reid | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-09-03 |
| 1033485529 | Richard W Reid | Veterinarian | 34 Oak St, Smithtown, NY 11787-1007 | 2012-03-28 |
| 1821104563 | Richard Robert Reid | Emergency Medicine | 700 River Dr, Fort Bragg, CA 95437-5403 | 2006-08-23 |
| 1497713911 | Richard H Reid | Radiology | 3155 Maplewood Avenue, Winston Salem, NC 27103 | 2006-05-03 |
| 1831169267 | Richard Thomas Reid IIi | Nurse Anesthetist, Certified Registered | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2006-01-26 |
| Street Address |
1300 SUNSET DR SUITE F |
| City | GRENADA |
| State | MS |
| Zip Code | 38901-4086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613210 | Mal S. Riddell | Family Medicine | 1300 Sunset Dr, Suite B, Grenada, MS 38901-4086 | 2005-07-19 |
| 1235482340 | Grenada Cardiology LLC | Internal Medicine | 1300 Sunset Dr, Suite W, Grenada, MS 38901-4086 | 2012-10-26 |
| 1649550708 | Teresa Kaye Pickle | Nurse Practitioner | 1300 Sunset Dr, Ste A, Grenada, MS 38901-4081 | 2011-08-22 |
| 1164731931 | Latia Monanette Butts | Nurse Practitioner | 1300 Sunset Dr, Ste Q, Grenada, MS 38901-4086 | 2010-09-28 |
| 1962634170 | Mal S Riddell, D.o. Clinic | Family Medicine | 1300 Sunset Dr, Suite B, Grenada, MS 38901-4086 | 2009-08-20 |
| 1245462282 | Ralph T Cain | Nurse Practitioner | 1300 Sunset Dr, Ste Q, Grenada, MS 38901-4086 | 2009-08-10 |
| 1902045735 | Grenada Diagnostic Sleep Center, LLC | Clinic/Center | 1300 Sunset Dr, Suite E, Grenada, MS 38901-4086 | 2009-02-18 |
| 1225200280 | Charles Edward Hill II | Physical Therapist | 1300 Sunset Dr, Ste G, Grenada, MS 38901-4086 | 2008-03-31 |
| 1578735791 | Alwin Max Juchheim IIi, Dpm | Podiatrist | 1300 Sunset Dr, Suite P, Grenada, MS 38901-4086 | 2008-03-27 |
| 1457577074 | John A Marascalco, Md, Pa | Specialist | 1300 Sunset Dr, Suite A, Grenada, MS 38901-4086 | 2007-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902435118 | The Mane Physician | Prosthetic/Orthotic Supplier | 94 Spain Drive, Grenada, MS 38901 | 2020-04-08 |
| 1942842166 | Sylvia C Bass | Technician | 813 Union Street, Grenada, MS 38901 | 2019-10-09 |
| 1669971180 | Jenny Taylor | Nurse Practitioner | 350 Sunset Drive, Grenada, MS 38901 | 2018-02-10 |
| 1073912762 | John Thomas Mcree I | Counselor | 2026 Commerce St Ste 8e, Grenada, MS 38901 | 2014-08-19 |
| 1700213634 | State of Mississippi-university of Mississippi Medical Center | Home Health | 960 Avent Drive, Grenada, MS 38901 | 2013-10-10 |
| 1114359866 | Cmhp Enterprises | Dentist | 1420 Wooded Drive, Grenada, MS 38901 | 2013-08-05 |
| 1518256460 | Mercy Hospice LLC | Hospice Care, Community Based | 1410 Wooded Drive, Grenada, MS 38901 | 2011-03-31 |
| 1215256318 | Della Lea Welsh | Speech-Language Pathologist | 1321 Dd Sunset Dr., Grenada, MS 38901 | 2010-05-28 |
| 1750514543 | Family Health Care Clinic, Inc. | Clinic/Center | 1102 Telegraph St, Grenada, MS 38901 | 2009-08-27 |
| 1033384771 | Jason K Bennett | Pharmacist | 140 Shadow Wood Cv, Grenada, MS 38901 | 2008-04-24 |
| Find all providers in zip 38901 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053684548 | Grenada Lake Medical Center | Family Medicine | 965 Avent Dr Ste 100a, Grenada, MS 38901-5045 | 2012-02-15 |
| 1902010218 | H & P Investors, LLC | Family Medicine | 1350 Sunset Drive, Ste B, Grenada, MS 38901 | 2007-05-09 |
| 1083613210 | Mal S. Riddell | Family Medicine | 1300 Sunset Dr, Suite B, Grenada, MS 38901-4086 | 2005-07-19 |
| 1932538527 | State of Mississippi-university of Mississippi Medical Center | Family Medicine | 965 Avent Dr, Suite 100a, Grenada, MS 38901-5045 | 2013-11-05 |
| 1093002743 | Andrea Jemae Collins | Family Medicine | 960 Avent Dr, Grenada, MS 38901-5230 | 2011-07-01 |
| 1811201544 | Stanford Medical Inc | Family Medicine | 1117 Sunset Dr, Suite 101, Grenada, MS 38901-4080 | 2010-08-05 |
| 1962634170 | Mal S Riddell, D.o. Clinic | Family Medicine | 1300 Sunset Dr, Suite B, Grenada, MS 38901-4086 | 2009-08-20 |
| 1033220512 | James K Stanford | Family Medicine | 1117 Sunset Dr, Suite 101, Grenada, MS 38901-4080 | 2006-08-31 |
| 1700994738 | Grenada Family Medicine Clinic | Family Medicine | 1300 Sunset Dr, Suite F, Grenada, MS 38901-4086 | 2006-08-29 |
| 1417975731 | Ralph Criss Armstrong Jr. | Family Medicine | 1300 Sunset Dr, Suite F, Grenada, MS 38901-4086 | 2006-07-17 |
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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.