Provider Demographics
NPI:1114211059
Name:WILLIAM O REED, JR, MD PA
Entity Type:Organization
Organization Name:WILLIAM O REED, JR, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:O
Authorized Official - Last Name:REED
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:913-432-7200
Mailing Address - Street 1:9119 W 74TH ST
Mailing Address - Street 2:
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2215
Mailing Address - Country:US
Mailing Address - Phone:913-432-7200
Mailing Address - Fax:877-492-3737
Practice Address - Street 1:9119 W 74TH ST
Practice Address - Street 2:STE 354
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66204-2215
Practice Address - Country:US
Practice Address - Phone:913-432-7200
Practice Address - Fax:877-492-3737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center