Daniel R Reidl (NPI# 1427016690, PAC ID# 4789606955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1427016690 |
| PAC ID by PECOS | 4789606955 |
| Professional Enrollment ID | I20060103000104 |
| Full Name | Daniel R Reidl |
| Organization Legal Name | HOUSTON ORTHOPEDIC SURGERY AND SPORTS MEDICINE |
| Address |
3051 Watson Blvd Suite 525 Warner Robins GA 31093-8556 |
| Phone Number | 4789534563 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5092703835 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110069 | HOUSTON MEDICAL CENTER |
| 110153 | PERRY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 | 4789534563 | HOUSTON ORTHOPEDIC SURGERY AND SPORTS MEDICINE |
| Organization Legal Name | HOUSTON ORTHOPEDIC SURGERY AND SPORTS MEDICINE |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Scott Harris | Orthopedic Surgery | Houston Orthopedic Surgery and Sports Medicine | 1013 Main St, Perry, GA 31069-3353 |
| Andrew L Ray | Physician Assistant | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Mallory Pilcher | Physical Therapy | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Keathern Scott Malone | Physical Medicine and Rehabilitation | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Daxes M Banit | Orthopedic Surgery | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Macey Diana Elks | Nurse Practitioner | Houston Orthopedic Surgery and Sports Medicine | 1013 Main St, Perry, GA 31069-3353 |
| Gregory Chiasson | Occupational Therapy | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Derrick D Phillips | Orthopedic Surgery | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| William Baxter Wiley | Orthopedic Surgery | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| David Huey Wiley | Orthopedic Surgery | Houston Orthopedic Surgery and Sports Medicine | 1013 Main St, Perry, GA 31069-3353 |
| Street Address |
3051 WATSON BLVD SUITE 525 |
| City | WARNER ROBINS |
| State | GA |
| Zip | 31093-8556 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew L Ray | Physician Assistant | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Mallory Pilcher | Physical Therapy | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Keathern Scott Malone | Physical Medicine and Rehabilitation | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Daxes M Banit | Orthopedic Surgery | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Gregory Chiasson | Occupational Therapy | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Derrick D Phillips | Orthopedic Surgery | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| William Baxter Wiley | Orthopedic Surgery | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| James B Sayler | Physical Therapy | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Laura P Horne | Physical Therapy | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Karen Davis Stewart | Occupational Therapy | Houston Orthopedic Surgery and Sports Medicine | 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8556 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Story | Nurse Practitioner | Houston Primary Care Physicians, LLC | 233 N Houston Rd, Suite 140 E, Warner- Robins, GA 31093-1400 |
| Danielle A Andrews | Family Medicine | Houston Primary Care Physicians, LLC | 233 N Houston Rd, Suite 140 E, Warner- Robins, GA 31093-1400 |
| Jovan S Adams | Family Medicine | Houston Primary Care Physicians, LLC | 233 N Houston Rd, Suite 140 E, Warner- Robins, GA 31093-1400 |
| Latoya D Jackson | Family Medicine | Houston Primary Care Physicians, LLC | 233 N Houston Rd, Suite 140 E, Warner- Robins, GA 31093-1400 |
| Christopher Deshawn Watson | Family Medicine | Houston Primary Care Physicians, LLC | 233 N Houston Rd, Suite 140 E, Warner- Robins, GA 31093-1400 |
| Cynthia R Taylor | Nurse Practitioner | Women's Healthcare of Middle Georgia, Inc. | 1025 N Houston Rd, Warner Robins, GA 31093-1505 |
| Alan Gadson Struth | Internal Medicine | 1037 N Houston Rd, Warner Robins, GA 31093-1505 | |
| Manoj H Shah | Obstetrics/gynecology | Physicians for Women, PC | 1021 N Houston Rd, Warner Robins, GA 31093-1505 |
| Malcolm S Moore Jr. | Ophthalmology | Eye Center of Central Georgia, P.C. | 1035 N Houston Rd, Warner Robins, GA 31093-1505 |
| John C Ervin | Ophthalmology | Eye Center of Central Georgia, P.C. | 1035 N Houston Rd, Warner Robins, GA 31093-1505 |
| Find all physicians in zip 31093 | |||
| City | WARNER ROBINS |
| Zip Code | 31093 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WARNER ROBINS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Daniel R Reidl.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.