Provider Demographics
NPI:1225076078
Name:REED, DONALD N JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:N
Last Name:REED
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 MARSH LANE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:214-269-5353
Mailing Address - Fax:214-269-5354
Practice Address - Street 1:2301 MARSH LANE
Practice Address - Street 2:SUITE 400
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:214-269-5353
Practice Address - Fax:214-269-5354
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM54652086S0127X
IN01037249A2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000622067OtherANTHEM
IN200876730Medicaid
OH0122745Medicaid
MI4652699Medicaid
IN260690A4Medicare PIN
OH0122745Medicaid
IN260690A4Medicare PIN