MARK THOMAS REIS (NPI# 1982709432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982709432 |
| Entity Type | Individual |
| Full Name | MARK THOMAS REIS |
| Credential | MD |
| Practice Address |
81 Highland Springs Ave Suite 103 Beaumont CA 92223-3170 |
| Mailing Address |
Po Box 10069 San Bernardino CA 92423-0069 |
| Practice Telephone | 9518450313 |
| Practice Fax Number | 3604145758 |
| Mailing Telephone | 9093354188 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2016-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 00032312 | WA | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | G88836 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 000258 | 05 | |
| WA | 8467847 | 05 | |
| WA | CRIME VICTIMS | 8943021 | 01 |
| CA | MEDICARE | FU515Z | 01 |
| WA | LABOR & IND | 215163 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194745455 | Mark William Reis | Chiropractor | 1150 White Oak Way, San Carlos, CA 94070-5109 | 2006-07-20 |
| Street Address |
81 HIGHLAND SPRINGS AVE SUITE 103 |
| City | BEAUMONT |
| State | CA |
| Zip Code | 92223-3170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053379768 | Lui Kong Yap | Physician Assistant | 81 Highland Springs Ave, Ste.200, Beaumont, CA 92223 | 2006-05-02 |
| 1174050611 | Saida Hardoon | Family Medicine | 81 Highland Springs Ave, Beaumont, CA 92223-3176 | 2017-05-15 |
| 1629482641 | Beaver Medical Group Lp | Non-Pharmacy Dispensing Site | 81 Highland Springs Ave, Suite 200, Beaumont, CA 92223-3170 | 2014-06-18 |
| 1316381650 | Amar Dixit | Allergy & Immunology | 81 Highland Springs Ave, Beaumont, CA 92223-3176 | 2013-04-17 |
| 1124369087 | Douglas Stephan Anders | Family Medicine | 81 Highland Springs Ave, Suite 306, Beaumont, CA 92223-3170 | 2013-03-01 |
| 1790030773 | Seventh Day Adventists Loma Linda University Medical Center, Inc. | Pharmacy | 81 Highland Springs Ave, Suite 90, Beaumont, CA 92223-3170 | 2012-07-17 |
| 1093945578 | Loma Linda University Radiation Medicine | Radiology | 81 Highland Springs Ave, Beaumont, CA 92223-2511 | 2009-07-20 |
| 1871766121 | Faculty Physicians and Surgeons of Llusm | Pediatrics | 81 Highland Springs Ave, Beaumont, CA 92223-2511 | 2008-04-08 |
| 1407898646 | Sherif F. Khalil | Internal Medicine | 81 Highland Springs Ave, Ste 200, Beaumont, CA 92223 | 2006-06-12 |
| 1063452811 | Susannah Reay Elton | Physician Assistant | 81 Highland Springs Ave, Beaumont, CA 92223-3170 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115376 | National Vision Inc | Optometrist | 1561 East 2nd Street, Suite 300, Beaumont, CA 92223 | 2020-08-18 |
| 1417566985 | Krystle Santana | Marriage & Family Therapist | 14700 Manzanita Park Rd, Beaumont, Ca 9223, Beaumont, CA 92223 | 2020-07-30 |
| 1063045656 | Beaver Medical Group, L.p. | Durable Medical Equipment & Medical Supplies | 839 Highland Springs Parkway, Building C, Beaumont, CA 92223 | 2020-02-21 |
| 1730745969 | Paola Correa | Counselor | 24700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-05-13 |
| 1639662802 | Jeremy Ball | Optometrist | 1659 E 6th St Ste A, Beaumont, CA 92223 | 2018-06-12 |
| 1659894368 | Jennifer Vargas | Counselor | 136 E. 6th St., Beaumont, CA 92223 | 2017-07-25 |
| 1770931487 | Amy Appleby | Student in an Organized Health Care Education/Training Program | 1360 Coriander Ct, Beaumont, CA 92223 | 2016-06-03 |
| 1427410364 | Jacob Garcia | Licensed Vocational Nurse | 38686 Florence Ave, Beaumont, CA 92223 | 2016-03-21 |
| 1396121588 | Anastasia B Flores | Counselor | 14700 Manzanita Park Rd., Beaumont, CA 92223 | 2015-08-11 |
| 1326424227 | Cindy Quyen Huynh | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223 | 2015-08-03 |
| Find all providers in zip 92223 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952480550 | Michael J Grecula | Orthopaedic Surgery | 3650 Laurel Street, Beaumont, TX 77707 | 2006-11-03 |
| 1346224359 | Sezefredo Paulo Depaiva | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2005-12-02 |
| 1063922730 | Lamar University | Orthopaedic Surgery | 211 Redbird Ln, Beaumont, TX 77705-9801 | 2017-10-06 |
| 1639431661 | Darryl Thomas Blalock | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2012-06-14 |
| 1295964583 | Eric Chapman | Orthopaedic Surgery | 3650 Laurel Street, Beaumont, TX 77707 | 2009-07-07 |
| 1801070842 | Matthew C Kergosien | Orthopaedic Surgery | 3650 Laurel Street, Beaumont, TX 77707 | 2007-12-27 |
| 1891898144 | Oscar Jovan Currie IIi | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2006-09-05 |
| 1083698898 | Jerry Doyle Clark | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2005-12-05 |
| 1992789713 | Burnet Todd Clarke | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2005-12-05 |
| 1144204967 | Jack Gober Mcneill | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2005-12-05 |
| Find all providers in BEAUMONT | ||||
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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.