DR. RICHARD ROBERT REID (NPI# 1821104563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821104563 |
| Entity Type | Individual |
| Full Name | DR. RICHARD ROBERT REID |
| Credential | MD |
| Practice Address |
700 River Dr Fort Bragg CA 95437-5403 |
| Mailing Address |
1990 N California Blvd Suite 400 Walnut Creek CA 94596-3742 |
| Practice Telephone | 7079611234 |
| Mailing Telephone | 9252255837 |
| Mailing Fax Number | 9254822834 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2009-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A89177 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A891770 | 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 |
| 1528086857 | Richard Clyde Reid | Family Medicine | 1300 Sunset Dr, Suite F, Grenada, MS 38901-4086 | 2006-07-17 |
| 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 |
700 RIVER DR |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306896428 | John A Kermen | Anesthesiology | 700 River Dr, Fort Bragg, CA 95437-5403 | 2006-05-11 |
| 1710336300 | Glass Beach Medical Services A Medical Corporation | Emergency Medicine | 700 River Dr, Fort Bragg, CA 95437-5403 | 2016-06-06 |
| 1447585245 | Mark David Levine Md, Fort Bragg Professional Corporation | Psychiatry & Neurology | 700 River Dr, Fort Bragg, CA 95437-5403 | 2009-10-12 |
| 1962666313 | Donald Sheffel, M.d. | Surgery | 700 River Dr, Fort Bragg, CA 95437-5403 | 2008-07-15 |
| 1891982351 | Lois Faith Leister | Pharmacist | 700 River Dr, Mendocino Coast District Hospital Pharmacy, Fort Bragg, CA 95437-5403 | 2007-09-28 |
| 1659562742 | Marilyn Magoffin | Nurse Practitioner | 700 River Dr, Fort Bragg, CA 95437-5403 | 2007-08-05 |
| 1255540340 | Phillip Conwell | Registered Nurse | 700 River Dr, Fort Bragg, CA 95437-5403 | 2007-05-22 |
| 1013060516 | Stephen Pinsk, M.d., Inc. | Clinical Medical Laboratory | 700 River Dr, Fort Bragg, CA 95437-5403 | 2007-01-19 |
| 1912079294 | Prakash P Devaskar | Pediatrics | 700 River Dr, Fort Bragg, CA 95437-5403 | 2006-11-14 |
| 1477641686 | Tamaki A. Myers | Emergency Medicine | 700 River Dr, Fort Bragg, CA 95437-5403 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1457518250 | Ryan Melink Knight | Emergency Medicine | Wamc 4 2817 Reilly St, Fort Bragg, NC 28310-0001 | 2008-05-20 |
| 1215114160 | Craig Hamilton Barstow | Emergency Medicine | Womack Army Medical Center; Fmrc, Bldg 4-2817, Fort Bragg, NC 28310-5000 | 2008-01-23 |
| 1629273628 | Christopher Michael House | Emergency Medicine | Bldg D-3534, Fort Bragg, NC 28310-0001 | 2007-06-19 |
| 1932272366 | Shawn Frank Taylor | Emergency Medicine | 2817 Reilly Road Department of Emergency Medicine, Fort Bragg, NC 28310 | 2006-11-15 |
| 1740209410 | Kenneth M Johnson IIi | Emergency Medicine | Womack Amc Credentials Ofc, Bldg 4-2817, Reilly Rd, Fort Bragg, NC 28310-0001 | 2006-07-19 |
| 1982229993 | John Joseph Reidelbach II | Emergency Medicine | 2817 Reilly St, Fort Bragg, NC 28310-7394 | 2020-06-15 |
| 1710336300 | Glass Beach Medical Services A Medical Corporation | Emergency Medicine | 700 River Dr, Fort Bragg, CA 95437-5403 | 2016-06-06 |
| 1497175384 | Van Wall | Emergency Medicine | 2817 Reilly St, Fort Bragg, NC 28310 | 2014-04-18 |
| 1770716938 | Leigh-anne Lindenmuth Slack | Emergency Medicine | 2817 Reilly Road, Mcxc-cod Credentials Womack Army Medical Center, Fort Bragg, NC 28310 | 2009-09-03 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
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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.