Provider Demographics
NPI:1821254095
Name:REED, JASON ALLAN (DO)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:ALLAN
Last Name:REED
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7277 SMITHS MILL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-8195
Mailing Address - Country:US
Mailing Address - Phone:740-566-4640
Mailing Address - Fax:
Practice Address - Street 1:20 UNIVERSITY ESTATES BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2838
Practice Address - Country:US
Practice Address - Phone:740-566-4640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH34-009577207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2966581Medicaid
OH2966581Medicaid
OH2966581Medicaid